GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1598179947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598179947 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | DERMATOLOGY ASSOCIATES OF WACCAMAW |
| Practice Address |
4033 Highway 17 Suite 105 Murrells Inlet SC 29576-5032 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8436528110 |
| Practice Fax Number | 8436528111 |
| Mailing Telephone | 8435208883 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2014-06-13 |
| 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 | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Associates of Waccamaw | 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 |
| 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 |
| 1124673793 | Georgetown Physician Associates, LLC | Clinic/Center | 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 | 2019-08-09 |
| Street Address |
4033 HIGHWAY 17 SUITE 105 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588110001 | Carolina Family Care, Inc | Psychiatry & Neurology | 4033 Highway 17, Ste 110, Murrells Inlet, SC 29576-5032 | 2016-08-26 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306171582 | Vienna L. Gibson | Dermatology | 4017 Highway 17 # 200, Murrells Inlet, SC 29576-5032 | 2009-10-06 |
| 1376969428 | Seaside Dermatology Pa | Dermatology | 4017 Highway 17, Suite 200, Murrells Inlet, SC 29576-5032 | 2014-03-13 |
| 1467728238 | Dermatology Associates of Waccamaw LLC | Dermatology | 4033 Hwy 17 Bypass, Ste 105, Murrells Inlet, SC 29576-5032 | 2012-03-27 |
| 1588622526 | Elizabeth F. Sherertz | Dermatology | 4033 Hwy 17 Bypass, Suite 105, Murrells Inlet, SC 29576-2010 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075343 | Dermatology and Skin Surgery Inc | Dermatology | 325 Broad St Ste 200, Sumter, SC 29150-4167 | 2020-02-18 |
| 1942844667 | Oakview Dermatology | Dermatology | 937 Riverwalk Pkwy Ste 202, Rock Hill, SC 29730-0178 | 2019-11-06 |
| 1427614577 | Georgia Dermatology & Skin Cancer Center, LLC | Dermatology | 2110 Woodside Executive Court, Aiken, SC 29803-3809 | 2019-05-14 |
| 1578038535 | Integrated Dermatology of Hilton Head, LLC | Dermatology | 3901 Main St Ste D, Hilton Head, SC 29926-4613 | 2018-10-05 |
| 1982138715 | Skin Solution To Massage | Dermatology | 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 | 2017-04-19 |
| 1700272978 | Leah Swanson | Dermatology | 135 Rutledge Ave # Msc578, Charleston, SC 29425-8903 | 2015-04-14 |
| 1730596685 | Atlantic Dermatology | Dermatology | 3600 Sea Mountain Hwy Ste A, Little River, SC 29566-8161 | 2014-07-11 |
| 1770996621 | David Mark Perry | Dermatology | 48 Folly Road Blvd, Charleston, SC 29407-7507 | 2014-06-09 |
| 1891106811 | Sarah M. Derrington | Dermatology | 9217 University Blvd., Ste C1b, Charleston, SC 29406 | 2014-05-13 |
| 1649619404 | Richard Pierce | Dermatology | 776 Daniel Ellis Dr Ste 1a, Charleston, SC 29412-3095 | 2013-06-14 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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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.