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: August 02, 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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1011 N FRASER ST
GEORGETOWN, SC 29440
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Internal Medicine (Interventional Cardiology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Nurse Practitioner (Family)
1011 N FRASER ST
GEORGETOWN, SC 29440

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.

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.