River Park Asc LLC
River Park Asc LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Vidalia, LA, holding Type 2 (organization) NPI 1144216847 since 2005. The authorized official on file is Marci Mcgraw, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1144216847 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | River Park Asc LLC |
| Practice address | 107 FRONT ST, STE.1100, Vidalia, LA, 71373 |
| Phone | 3183362218 |
| Enumeration date | 2005-09-27 |
| Last updated in NPPES | 2012-02-16 |
Authorized official
| Name | Marci Mcgraw |
|---|---|
| Title | Ceo |
| Phone | 3183362225 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 128 | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03027576 | Medicaid | MS | — |
| 190020258Z | Other | LA | BLUE CROSS PROVIDER NUMBE |
| 1464015 | Medicaid | LA | — |
Copy-ready billing details
Provider: River Park Asc LLC NPI: 1144216847 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 107 FRONT ST, STE.1100, Vidalia, LA, 71373
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447251996 | Iley Dillon | Individual | Internal Medicine Physician | Vidalia, LA |
| 1801882634 | John White | Individual | Otolaryngology Physician | Vidalia, LA |
| 1699761429 | Riverpark Imaging Center LLC | Organization | Radiology Clinic/Center | Vidalia, LA |
| 1457349110 | Barry Tillman | Individual | Pulmonary Disease Physician | Vidalia, LA |
| 1053309732 | Clifford Tillman | Individual | Gastroenterology Physician | Vidalia, LA |
| 1043260615 | Tillman Medical Group PA | Organization | Specialist | Vidalia, LA |
| 1396792495 | Riverpark After Hours Clinic LLC | Organization | Basic Emergency Medical Technician | Vidalia, LA |
| 1669491288 | John Fairbanks | Individual | Orthopaedic Surgery Physician | Vidalia, LA |
Verify this record
Cross-check NPI 1144216847 against the authoritative CMS record: view River Park Asc LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is River Park Asc LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-02-16.