TIDELANDS HEALTH FAMILY MEDICINE
NPI 1104995372
Clinic/Center - Rural Health in Andrews, SC

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

The NPI number for Georgetown Physician Associates, LLC is 1104995372. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Tidelands Health Family Medicine.

Q: What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since November 06, 2006CLIA 42D0251623 · Microscopy

701 S MORGAN AVE, ANDREWS, SC 29510(843) 264-5253(843) 264-5970 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: Nov 15, 2019, Jun 16, 2018, May 22, 2018 and 1 more (4 updates tracked since 2018).

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About Tidelands Health Family Medicine NPPES

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

TIDELANDS HEALTH FAMILY MEDICINE (NPI 1104995372) is a healthcare organization registered as a rural health in Andrews, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through November 21, 2026 and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1104995372

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC

Location Address701 S MORGAN AVEAndrews, SC 29510

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8330 · Fax (843) 652-8422

Phone(843) 264-5253

Fax(843) 264-5970

Organization SubpartNo

Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102

Enumeration DateNovember 6, 2006

Last NPPES UpdateMay 1, 20204 updates tracked since enumeration

NPPES CertifiedMay 1, 2020

✔ NPI 1104995372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

701 S MORGAN AVE, Andrews, SC 29510

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Other Names 1

Doing Business AsTidelands Health Family Medicine

Other Identifiers 1

MedicaidRHC068SC

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) 42D0251623

Tidelands Health Family Medicine At Andrews · Andrews, SC

Active · expires Nov 21, 2026

CLIA Number42D0251623

Laboratory TypePhysician Office

Certificate Effective DateNovember 22, 2024

Certificate Expiration DateNovember 21, 2026

Laboratory DirectorLee Jones M D

Laboratory Phone(843) 264-5253

Laboratory LocationTidelands Health Family Medicine At Andrews701 S Morgan Ave, Andrews, SC 29510

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.

Other Providers at the Same Location NPPES 9

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

GEORGETOWN MEMORIAL HOSPITAL

Clinic/Center (Physical Therapy)