GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1104995372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104995372 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | TIDELANDS HEALTH FAMILY MEDICINE |
| Practice Address |
701 S Morgan Ave Andrews SC 29510 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8432645253 |
| Practice Fax Number | 8432645970 |
| Mailing Telephone | 8435208330 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | ELIZABETH SUTHERLAND WARD (EVP & CFO) |
| Authorized Official Telephone | 8435277102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC068 | 05 |
| Other Name | Type Code |
|---|---|
| Tidelands Health Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967943 | Georgetown Physician Associates, LLC | Pediatrics | 4320 Holmestown Rd Ste B, Myrtle Beach, SC 29588-7837 | 2019-08-15 |
| 1780118414 | Georgetown Physician Associates, LLC | Family Medicine | 4320 Holmestown Rd Ste A, Myrtle Beach, SC 29588-7837 | 2017-04-19 |
| 1053704627 | Georgetown Physician Associates, LLC | Anesthesiology | 4040 Highway 17 Unit 206, Murrells Inlet, SC 29576-5098 | 2015-03-06 |
| 1598179947 | Georgetown Physician Associates, LLC | Dermatology | 4033 Highway 17, Suite 105, Murrells Inlet, SC 29576-5032 | 2014-06-13 |
| 1548604366 | Georgetown Physician Associates, LLC | Emergency Medicine | 4367 Riverwood Dr Unit 104, Murrells Inlet, SC 29576-4381 | 2013-04-23 |
| 1548501976 | Georgetown Physician Associates, LLC | Obstetrics & Gynecology | 606 Black River Rd Ste 300, Georgetown, SC 29440-3304 | 2013-03-11 |
| 1235475930 | Georgetown Physician Associates, LLC | Family Medicine | 2347 S Highway 17, Murrells Inlet, SC 29576-7611 | 2012-12-27 |
| 1588716815 | Georgetown Physician Associates, LLC | Clinic/Center | 456 N Main St, Hemingway, SC 29554 | 2007-01-17 |
| 1326655333 | Georgetown Physician Associates, LLC | Otolaryngology | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-09-24 |
| 1477163988 | Georgetown Physician Associates, LLC | Internal Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-08-10 |
| Street Address |
701 S MORGAN AVE |
| City | ANDREWS |
| State | SC |
| Zip Code | 29510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121221 | Larry T Wilson | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510 | 2005-06-02 |
| 1720688807 | Selena Augustine Chamberlain | Nurse Practitioner | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2020-10-28 |
| 1881948834 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 701 S Morgan Ave, Suite A, Andrews, SC 29510-2959 | 2012-10-30 |
| 1033438189 | Lizina Blessing Green | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2010-05-27 |
| 1023346681 | Georgetown Memorial Hospital | Clinic/Center | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2009-11-19 |
| 1912149287 | Patrick Steve Smith Jr. | Physical Therapy Assistant | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2009-04-01 |
| 1144401365 | Georgetown Health Group | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2007-11-15 |
| 1144207382 | Thomas O Fort | Physician Assistant | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2005-12-29 |
| 1750367918 | Janis W Harvey | Nurse Practitioner | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2005-12-20 |
| 1730164229 | Bernard Lee Jones Jr. | Family Medicine | 701 S Morgan Ave, Georgetown Health Group Dba Andrews Medical Center, Andrews, SC 29510-2959 | 2005-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948733 | Jessica Mont | Registered Nurse | 201 Olivia Road, Andrews, SC 29510 | 2015-07-29 |
| 1801219845 | St. James-santee Family Health Center, Inc. | Clinic/Center | 675 North Morgan Avenue, Andrews, SC 29510 | 2014-01-28 |
| 1861820896 | White Pine Land Company Inc | Pharmacy | 15 West Ashland Street, Andrews, SC 29510 | 2013-10-30 |
| 1952472284 | Gene Alan Ziegenhorn | Dentist | 902 S Morgan Ave, Unit 1, Andrews, SC 29510 | 2006-11-10 |
| 1184649055 | Reynolds Drug Strore Inc | Durable Medical Equipment & Medical Supplies | 7 S Morgan Ave, Andrews, SC 29510 | 2006-07-13 |
| 1124003074 | Alexander S. Hemingway | Chiropractor | 502 Brooks Rd, Andrews, SC 29510 | 2005-12-14 |
| 1952831505 | Train Up Speech Therapy Services, LLC | Spec/Tech, Pathology | 212 W. Main St., Andrews, SC 29510 | 2017-06-15 |
| 1609936368 | Hemingway Chiropractic | Chiropractor | 502 Brooks Rd, Andrews, SC 29510 | 2006-12-11 |
| 1497110381 | Tabetha Bentley | Nurse Practitioner | 675 N Morgan Ave, Andrews, SC 29510-2417 | 2015-12-21 |
| 1780141093 | Sherrie B Richardson | Family Medicine | 675 N Morgan Ave, Andrews, SC 29510-2417 | 2019-02-22 |
| Find all providers in zip 29510 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123537 | Murphy Medical Center, Inc. | Clinic/Center | 2751 Business 19, Andrews, NC 28901-8097 | 2020-04-23 |
| 1699010371 | Andrews County Hospital District | Clinic/Center | 1411 N Main St, Andrews, TX 79714-3696 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.