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TIDELANDS HEALTH PEDIATRICS
NPI 1053967943
Pediatrics in Myrtle Beach, SC

Active since August 15, 2019CLIA 42D2172838 · Microscopy
4320 HOLMESTOWN RD STE B, MYRTLE BEACH, SC 29588(843) 652-8440(843) 652-8441 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2019, Aug 15, 2019 (2 updates tracked since 2019).

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

NPI1053967943
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address4320 HOLMESTOWN RD STE BMyrtle Beach, SC 29588-7837
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 652-8440
Phone(843) 652-8440
Fax(843) 652-8441
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateAugust 15, 2019
Last NPPES UpdateMay 1, 20202 updates tracked since enumeration
NPPES CertifiedMay 1, 2020
✔ NPI 1053967943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4320 HOLMESTOWN RD STE B, Myrtle Beach, SC 29588
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Other Names 1

Doing Business AsTidelands Health Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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, SC
Active · expires Sep 30, 2027
CLIA Number42D2172838
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorLucretia Carter
Laboratory Phone(843) 652-8440
Laboratory LocationTidelands Health Pediatrics4320 Holmestown Road, Myrtle Beach, SC 29588
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.

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 from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare 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.