GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1306028832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306028832 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | TIDELANDS HEALTH FAMILY MEDICINE |
| Practice Address |
9699 Ocean Hwy Pawleys Island SC 29585 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8432374297 |
| Practice Fax Number | 8432370495 |
| Mailing Telephone | 8435208883 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2020-06-25 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SC | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6554 | 05 | |
| SC | RHC202 | 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 |
9699 OCEAN HWY |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143391 | Kathleen A Boone | Nurse Practitioner | 9699 Ocean Hwy, Waccmaaw Medical Center, Pawleys Island, SC 29585-7425 | 2005-12-05 |
| 1144668930 | Richard Andrew Philipp II | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2013-06-13 |
| 1952655912 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 9699 Ocean Hwy, Suite A, Pawleys Island, SC 29585-7425 | 2012-10-30 |
| 1023371044 | Kent Bryce Loader | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2012-06-25 |
| 1992095236 | Douglas Charles Swartz | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2011-04-07 |
| 1962691402 | Georgetown Physician Services, LLC | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2007-10-22 |
| 1760588388 | Jennifer L Johnson | Physician Assistant | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2006-09-15 |
| 1801800990 | Lawrence Casey Mann IIi | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2006-07-27 |
| 1215914635 | Edward Scott Brumfield | Family Medicine | 9699 Ocean Hwy, Georgetown Health Group, Pawleys Island, SC 29585-7425 | 2005-12-28 |
| 1821073321 | Gerald E Harmon | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585-7425 | 2005-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.