GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1811233562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811233562 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | TIDELANDS HEALTH FAMILY MEDICINE |
| Practice Address |
12117 Ocean Hwy Pawleys Island SC 29585 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8432378231 |
| Practice Fax Number | 8432378551 |
| Mailing Telephone | 8435208883 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2012-12-28 |
| 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 | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6125 | 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 |
12117 OCEAN HWY |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669432878 | Franklin E Clemons, Jr. | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-03-23 |
| 1558831925 | Dayna Chinners Wilder | Family Medicine | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2018-11-28 |
| 1053814871 | Dioselina Ruiz Godbold | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2018-03-18 |
| 1619211224 | Island Family Care | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2012-11-20 |
| 1417155037 | Island Family Care,pa | Family Medicine | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2007-07-05 |
| 1225257298 | Jason Franklin Clemons | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2007-04-25 |
| 1386754513 | Teressa Thompson Harrington | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-08-30 |
| 1659325124 | Edgar Victor Archambeau IIi | Family Medicine | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-05-20 |
| 1831152545 | Counseling Associates LLC | Psychiatry & Neurology | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-04-11 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902987407 | Gayle L Brook | Family Medicine | 113 Willbrook Blvd Unit F, Pawleys Island, SC 29585-8245 | 2006-10-18 |
| 1316410616 | Palmetto Primary Care Physicians | Family Medicine | 113 Willbrook Blvd Unit F, Pawleys Island, SC 29585-8245 | 2019-01-09 |
| 1558831925 | Dayna Chinners Wilder | Family Medicine | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2018-11-28 |
| 1760967053 | Palmetto Primary Care Physicians | Family Medicine | 14866 Ocean Hwy, Pawleys Island, SC 29585-4801 | 2018-10-02 |
| 1598173064 | South Strand Internists and Urgent Care LLC | Family Medicine | 11405 Ocean Hwy, Pawleys Island, SC 29585-8339 | 2014-07-29 |
| 1144668930 | Richard Andrew Philipp II | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2013-06-13 |
| 1871834507 | Coastal Carolina Mobile Physicians | Family Medicine | 1272 Crooked Oak Dr, Pawleys Island, SC 29585-8076 | 2013-03-05 |
| 1639422934 | South Strand Urgent Care LLC | Family Medicine | 11405 Ocean Hwy, Pawleys Island, SC 29585-8339 | 2012-10-24 |
| 1023371044 | Kent Bryce Loader | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2012-06-25 |
| 1952673055 | Ronald Lee Smoyer | Family Medicine | 83 Blue Ridge Dr, Pawleys Island, SC 29585-6858 | 2012-02-03 |
| Find all providers in PAWLEYS ISLAND | ||||
| 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.