TIDELANDS HEALTH PEDIATRICS
NPI 1053967943
Pediatrics in Myrtle Beach, SC
About Tidelands Health Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIDELANDS HEALTH PEDIATRICS (NPI 1053967943) is a healthcare organization registered as a pediatrics in Myrtle Beach, South Carolina and active in the NPI registry since August 2019. The organization holds a CLIA Microscopy certificate valid through September 30, 2027 and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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 Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
266Medicare enrollment records show 266 clinicians reassign Medicare billing to Tidelands Health Pediatrics, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 125 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 34
Nearest to this location (20)
See all 266Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2172838
Tidelands Health Pediatrics · Myrtle Beach, SCFrequently 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 1053967943. It was assigned to this organization in the NPPES registry on August 15, 2019. The provider is doing business as Tidelands Health Pediatrics.
Where is Georgetown Physician Associates, LLC located?
Georgetown Physician Associates, LLC is located at 4320 Holmestown Rd Ste B, Myrtle Beach, SC 29588. The listed phone number is (843) 652-8440.
What is Georgetown Physician Associates, LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
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, 17 practice at this address and 125 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Georgetown Physician Associates, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2172838) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 May 1, 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.
# Tidelands Health Pediatrics · NPI 1053967943
Pediatrics organization in Myrtle Beach, South Carolina. Organization record, active in the CMS NPPES registry since August 15, 2019.
## Identity
- **NPI:** 1053967943 (Entity type: Organization)
- **Enumerated:** August 15, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Georgetown Physician Associates, Llc
- **Organization subpart:** No
- **Authorized official:** Elizabeth Ward, EVP & CFO
## Practice location
- **Address:** 4320 HOLMESTOWN RD STE B, Myrtle Beach, SC 29588-7837
- **Phone:** (843) 652-8440 · **Fax:** (843) 652-8441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 266 clinicians in 34 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (60), Family Practice (43), Obstetrics/Gynecology (23); 17 practice at this address and 125 within 10 miles; [full list](https://npiprofile.com/npi/1053967943/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053967943) · Data from the CMS NPPES public registry.