GEORGETOWN PHYSICIAN SERVICES, LLC (NPI# 1962691402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962691402 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN SERVICES, LLC |
| Other Organization Name | WACCAMAW FAMILY MEDICINE |
| Practice Address |
9699 Ocean Hwy Pawleys Island SC 29585-7425 |
| Mailing Address |
1075 N Fraser St Georgetown SC 29440-2848 |
| Practice Telephone | 8432374296 |
| Practice Fax Number | 8432370495 |
| Mailing Telephone | 8435274442 |
| Mailing Fax Number | 8435270495 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | SUE R. STARK (CO-ADMINISTRATOR) |
| Authorized Official Telephone | 8435274442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1370 | 05 | |
| SC | GP4819 | 05 |
| Other Name | Type Code |
|---|---|
| Waccamaw Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497062384 | Georgetown Physician Services, LLC | Family Medicine | 1075 N Fraser St, Georgetown, SC 29440-2848 | 2010-09-13 |
| Street Address |
9699 OCEAN HWY |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-7425 |
| 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 |
| 1306028832 | Georgetown Physician Associates, LLC | Family Medicine | 9699 Ocean Hwy, Pawleys Island, SC 29585 | 2007-11-27 |
| 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 | 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.