GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1295113207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295113207 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | TIDELANDS URGENT CARE |
| Practice Address |
4040 Highway 17 Suite 105 Murrells Inlet SC 29576 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8436528090 |
| Practice Fax Number | 8436528091 |
| Mailing Telephone | 8435208883 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2015-05-11 |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tidelands Urgent Care | 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 |
4040 HIGHWAY 17 SUITE 105 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164489761 | Daniel J Single | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2006-04-27 |
| 1528593233 | Jennifer Marie Dickerson | Physician Assistant | 4040 Highway 17, Suite 206, Murrells Inlet, SC 29576-5098 | 2017-05-01 |
| 1679944839 | Bryce Edward Paull | Physician Assistant | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2015-10-14 |
| 1467837369 | Carrie Suzanne Gwyer | Nurse Practitioner | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2015-07-21 |
| 1851705206 | Georgetown Physician Associates, LLC | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576 | 2014-06-13 |
| 1982998100 | Mark Leslie Witkowski | Surgery | 4040 Highway 17, Suite 202, Murrells Inlet, SC 29576-5098 | 2011-06-06 |
| 1053638973 | Rebecca Ann Turner | Nurse Practitioner | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2010-05-02 |
| 1821313057 | Christopher Tran Bach | Internal Medicine | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2010-03-31 |
| 1235336421 | Channing Dale Willoughby | Pain Medicine | 4040 Highway 17, Suite206, Murrells Inlet, SC 29576-5098 | 2007-06-29 |
| 1679602551 | Todd Richard Rowland | Physical Medicine & Rehabilitation | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235474727 | Southern Urgent Care Murrell's Inlet LLC | Clinic/Center | 3581 Us Highway 17 Bypass, Murrells Inlet, SC 29576-7061 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1790254365 | Gomed Charleston | Clinic/Center | 1257 Smythe St, Daniel Island, SC 29492-8371 | 2018-11-13 |
| 1053824235 | Broken Better Urgent Care LLC | Clinic/Center | 735 Cherry Rd, Rock Hill, SC 29732-3121 | 2017-11-10 |
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1093248288 | Charleston Carenow Urgent Care, LLC | Clinic/Center | 516 Saint James Ave, Goose Creek, SC 29445-2793 | 2017-04-05 |
| 1689113763 | Bon Secours Ambulatory Services-st Francis LLC | Clinic/Center | 1800 Augusta St Ste B, Greenville, SC 29605-2928 | 2017-02-22 |
| 1124495643 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 1467 Woodruff Rd Ste C, Greenville, SC 29607-6505 | 2015-09-01 |
| 1780051425 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 3213 N Pleasantburg Dr Ste E2, Greenville, SC 29609-2900 | 2015-08-28 |
| 1346617081 | Bon Secours Ambulatory Services - St. Francis, LLC | Clinic/Center | 1494 W Wade Hampton Blvd Ste C, Greer, SC 29650-1166 | 2015-08-28 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
Please comment or provide details below to improve the information on GEORGETOWN PHYSICIAN ASSOCIATES, LLC.
| 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.