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TIDELANDS HEALTH PAIN MANAGEMENT SERVICES
NPI 1053704627
Anesthesiology - Pain Medicine in Murrells Inlet, SC

Active since March 06, 2015
4040 HIGHWAY 17 UNIT 206, MURRELLS INLET, SC 29576(843) 652-8260(843) 652-8269 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2020, Dec 20, 2019, Nov 15, 2019 and 3 more (6 updates tracked since 2018).

About Tidelands Health Pain Management Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDELANDS HEALTH PAIN MANAGEMENT SERVICES (NPI 1053704627) is a healthcare organization registered as a pain medicine in Murrells Inlet, South Carolina and active in the NPI registry since March 2015. The organization maintains a secondary practice location in Myrtle Beach and lists Elizabeth Sutherland Ward, Evp & Cfp, as its authorized official.

NPPES Registry Identity

NPI1053704627
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address4040 HIGHWAY 17 UNIT 206Murrells Inlet, SC 29576-5098
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Phone(843) 652-8260
Fax(843) 652-8269
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfp · (843) 527-7102
Enumeration DateMarch 6, 2015
Last NPPES UpdateJune 25, 20206 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1053704627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X
4040 HIGHWAY 17 UNIT 206, Murrells Inlet, SC 29576
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Other Names 1

Doing Business AsTidelands Health Pain Management Services

Secondary Practice Location 1

Location 12200 Crow Ln Ste 202Myrtle Beach, SC 29577-1663 · Phone (843) 848-5210 · Fax (843) 848-2200

Other Identifiers 1

MedicaidGP7010SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidelands Health Pain Management Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

266

Medicare enrollment records show 266 clinicians reassign Medicare billing to Tidelands Health Pain Management Services, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 131 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Nurse Practitioner60
Family Practice43
Obstetrics/Gynecology23
Gastroenterology19
Physical Therapist in Private Practice13
Orthopedic Surgery11
General Surgery8
Internal Medicine8
26 other specialties81

Nearest to this location (20)

See all 266
Annie Elvington, APRN, FNP-C
Nurse Practitioner
NPI 1609638279
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1581
✔ PECOSSame address
Sebastian Abadie, M.D.
Gastroenterology
NPI 1407875586
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts MedicareSame address
Sheryl Aiken, DNP
Nurse Practitioner
NPI 1902327554
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 235-3131
✔ PECOS✔ Accepts MedicareSame address
Charmaine Belto-Mills, FNP-BC
Nurse Practitioner
NPI 1124685573
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 235-3131
✔ PECOS✔ Accepts MedicareSame address
Leslee De Paul, NURSE PRACTITIONER
Nurse Practitioner
NPI 1265248181
4040 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-8120
✔ PECOS✔ Accepts MedicareSame address
Allison Devaux, FNP
Nurse Practitioner
NPI 1326715343
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 235-3131
✔ PECOS✔ Accepts MedicareSame address
Malcolm Eggart, M.D.
Neurosurgery
NPI 1104142223
4040 HIGHWAY 17 STE 306
Murrells Inlet, SC 29576
(843) 652-8115
✔ PECOS✔ Accepts MedicareSame address
Salim Ghorra, MD
General Surgery
NPI 1336143908
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 652-8390
✔ PECOS✔ Accepts MedicareSame address
William Greer, MD
Orthopedic Surgery
NPI 1649288705
4040 HIGHWAY 17 SUITE 101
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts MedicareSame address
Rebecca Hash, FNP-BC
Nurse Practitioner
NPI 1306250550
4040 HIGHWAY 17 UNIT 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts MedicareSame address
Jesse Lewis, M.D.
Hand Surgery
NPI 1770889131
4040 HIGHWAY 17 UNIT 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts MedicareSame address
Oluwaseun Omofoye, MD
Neurosurgery
NPI 1215296223
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
William Whiteside, MD
Orthopedic Surgery
NPI 1780694588
4040 HIGHWAY 17 SUITE 101
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts MedicareSame address
Mark Witkowski, DO
General Surgery
NPI 1982998100
4040 HIGHWAY 17 SUITE 202
Murrells Inlet, SC 29576
(843) 652-8390
✔ PECOS✔ Accepts MedicareSame address
Vinh Doan, MD
Family Practice
NPI 1265927792
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts MedicareSame address
Vasudha Jain, M.D.
Family Practice
NPI 1982131603
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts MedicareSame address
Debra Mccauley, DO
Family Practice
NPI 1578094124
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts MedicareSame address
Sean Nguyen, MD
Family Practice
NPI 1225568181
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts MedicareSame address
Taylor Thrash, DO
Family Practice
NPI 1871158121
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts MedicareSame address
Gayle Richmond, MD
Obstetrics/Gynecology
NPI 1144292624
4017 HIGHWAY 17 BYPASS
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts Medicare0.1 mi
See all 266 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgetown Physician Associates, LLC's NPI number?

The NPI number for Georgetown Physician Associates, LLC is 1053704627. It was assigned to this organization in the NPPES registry on March 6, 2015. The provider is doing business as Tidelands Health Pain Management Services.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 4040 Highway 17 Unit 206, Murrells Inlet, SC 29576. The listed phone number is (843) 652-8260.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Georgetown Physician Associates, LLC enrolled in Medicare?

Yes. Georgetown Physician Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgetown Physician Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 266 clinicians in 34 Medicare specialties reassign their Medicare billing to Georgetown Physician Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (60), Family Practice (43) and Obstetrics/Gynecology (23). Of these, 14 practice at this address and 131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgetown Physician Associates, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Georgetown Physician Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgetown Physician Associates, LLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.