TIDELANDS HEALTH GASTROENTEROLOGY
NPI 1093139420
Internal Medicine - Gastroenterology in Georgetown, SC

Active since February 05, 2014
1011 N FRASER ST, GEORGETOWN, SC 29440(843) 527-3428(843) 546-8216 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2020, Jun 15, 2020, Dec 19, 2019 and 3 more (6 updates tracked since 2018).

About Tidelands Health Gastroenterology NPPES

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

TIDELANDS HEALTH GASTROENTEROLOGY (NPI 1093139420) is a healthcare organization registered as a gastroenterology in Georgetown, South Carolina and active in the NPI registry since February 2014. The organization maintains 3 additional practice locations and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1093139420
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES
Location Address1011 N FRASER STGeorgetown, SC 29440
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Fax(843) 546-8216
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateFebruary 5, 2014
Last NPPES UpdateJune 25, 20206 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1093139420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1011 N FRASER ST, Georgetown, SC 29440

Other Names 1

Doing Business AsTidelands Health Gastroenterology

Secondary Practice Locations 3

Location 14301 Dick Pond RdMyrtle Beach, SC 29588-6807 · Phone (843) 652-8290 · Fax (843) 652-8299
Location 22200 Crow Ln Ste 302Myrtle Beach, SC 29577-1663 · Phone (843) 848-5320 · Fax (843) 848-5325
Location 34040 Highway 17 Unit 302Murrells Inlet, SC 29576-5098 · Phone (843) 652-8290 · Fax (843) 652-8299

Other Identifiers 3

MedicaidGP8837SC
MedicaidGP6485SC
MedicaidGP8109SC

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

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 Gastroenterology 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 Gastroenterology, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 70 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
Family Practice
NPI 1851323448
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801419213
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578669297
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811490907
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1467477661
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285641175
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437116241
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477413367
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912980822
1068 N FRASER ST
Georgetown, SC 29440
(843) 545-7200
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1487822730
1011 N FRASER ST
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1871093773
1011 N FRASER ST
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1699955005
903 N FRASER ST # A
Georgetown, SC 29440
(843) 527-1331
✔ PECOS0.2 mi
Pain Management
NPI 1881120764
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts Medicare0.6 mi
Orthopedic Surgery
NPI 1679587232
606 BLACK RIVER RD STE 100
Georgetown, SC 29440
(843) 527-1800
✔ PECOS✔ Accepts Medicare0.6 mi
Obstetrics/Gynecology
NPI 1386602449
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS0.6 mi
General Surgery
NPI 1750398525
606 BLACK RIVER RD STE 301
Georgetown, SC 29440
(843) 652-8390
✔ PECOS0.6 mi
Certified Nurse Midwife (CNM)
NPI 1902104995
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS0.6 mi
Emergency Medicine
NPI 1780685966
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ PECOS✔ Accepts Medicare0.6 mi
Physical Medicine and Rehabilitation
NPI 1801823745
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts Medicare0.6 mi
Infectious Disease
NPI 1679606867
1014 HUGER DR
Georgetown, SC 29440
(843) 848-5350
✔ PECOS✔ Accepts Medicare0.7 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's NPI number?

The NPI number for Georgetown Physician Associates is 1093139420. It was assigned to this organization in the NPPES registry on February 5, 2014. The provider is doing business as Tidelands Health Gastroenterology.

Where is Georgetown Physician Associates located?

Georgetown Physician Associates is located at 1011 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 527-3428.

What is Georgetown Physician Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Georgetown Physician Associates enrolled in Medicare?

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

How many clinicians bill Medicare through Georgetown Physician Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 266 clinicians in 34 Medicare specialties reassign their Medicare billing to Georgetown Physician Associates. 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, 8 practice at this address and 70 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgetown Physician Associates 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 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 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.