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TIDELANDS HEALTH UROLOGY
NPI 1114780483
Urology in Murrells Inlet, SC

Active since January 31, 2024CLIA Certified · 3 labs
4040 HIGHWAY 17 UNIT 205, MURRELLS INLET, SC 29576(843) 652-8475(843) 652-8476 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tidelands Health Urology NPPES

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

TIDELANDS HEALTH UROLOGY (NPI 1114780483) is a healthcare organization registered as an urology in Murrells Inlet, South Carolina and active in the NPI registry since January 2024. The organization holds 3 active CLIA laboratory certificates and lists Elizabeth Sutherland Ward, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114780483
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address4040 HIGHWAY 17 UNIT 205Murrells Inlet, SC 29576-5098
Mailing AddressPo Box 421718Georgetown, SC 29442-4203
Phone(843) 652-8475
Fax(843) 652-8476
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardChief Financial Officer · (843) 527-7102
Enumeration DateJanuary 31, 2024
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1114780483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4040 HIGHWAY 17 UNIT 205, Murrells Inlet, SC 29576
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Other Names 1

Doing Business AsTidelands Health Urology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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 Urology 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 Urology, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 131 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
Christopher Bach, M.D.
Gastroenterology
NPI 1821313057
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts MedicareSame address
Scott Callaghan, D.O.
Neurology
NPI 1497747018
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Thomas Ellison, MD
Orthopedic Surgery
NPI 1780630574
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Carrie Gwyer, FNP
Nurse Practitioner
NPI 1467837369
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts MedicareSame address
Jack Johnston, MD
General Surgery
NPI 1033590054
4040 HIGHWAY 17 UNIT 104
Murrells Inlet, SC 29576
(864) 561-1716
✔ PECOS✔ Accepts MedicareSame address
Michael Mccaffrey, M.D.
Neurology
NPI 1902863103
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Daniel Michalski, AGACNP
Nurse Practitioner
NPI 1841830940
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Chrysoula Pappa, M.D.
Rheumatology
NPI 1114177847
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Ganesha Perera, MD
Vascular Surgery
NPI 1689746299
4040 HIGHWAY 17 UNIT 306
Murrells Inlet, SC 29576
(843) 792-1414
✔ PECOS✔ Accepts MedicareSame address
Valerie Lasry, MD
Obstetrics/Gynecology
NPI 1750353272
4017 HIGHWAY 17 STE 100
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts MedicareSame address
Sonia Ceballos, MD
Obstetrics/Gynecology
NPI 1932391067
4017 HIGHWAY 17 STE 100
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts Medicare0.1 mi
Brittany Stancil, NURSE PRACTITIONER
Nurse Practitioner
NPI 1811759038
4017 HIGHWAY 17 STE 200
Murrells Inlet, SC 29576
(843) 651-4600
✔ PECOS✔ Accepts Medicare0.1 mi
Sebastian Abadie, M.D.
Gastroenterology
NPI 1407875586
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare0.1 mi
Malcolm Eggart, M.D.
Neurosurgery
NPI 1104142223
4040 HIGHWAY 17 STE 306
Murrells Inlet, SC 29576
(843) 652-8115
✔ PECOS✔ Accepts Medicare0.1 mi
Salim Ghorra, MD
General Surgery
NPI 1336143908
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 652-8390
✔ PECOS✔ Accepts Medicare0.1 mi
William Greer, MD
Orthopedic Surgery
NPI 1649288705
4040 HIGHWAY 17 SUITE 101
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare0.1 mi
Jesse Lewis, M.D.
Hand Surgery
NPI 1770889131
4040 HIGHWAY 17 UNIT 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare0.1 mi
Vinh Doan, MD
Family Practice
NPI 1265927792
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts Medicare0.1 mi
Mckenzye Dehart Mccoyle, DO
Neurology
NPI 1083237911
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare0.2 mi
Geoffrey Habermacher, M.D., PHD
Urology
NPI 1083882096
4040 HIGHWAY 17 UNIT 205
Murrells Inlet, SC 29576
(843) 652-8475
✔ PECOS✔ Accepts Medicare0.2 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.

CLIA Laboratory Certificates CMS CLIA 3

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 of Waiver 42D2311505

Tidelands Health Urology At Murrells Inlet · Murrells Inlet, SC
Active · expires Sep 23, 2028
CLIA Number42D2311505
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorGeoffrey Habermacher
Laboratory Phone(843) 652-8475
Laboratory LocationTidelands Health Urology At Murrells Inlet4040 Hwy 17 Unit 205, Murrells Inlet, SC 29576
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2321600

Tidelands Health Urology At Market Common · Myrtle Beach, SC
Active · expires Apr 6, 2027
CLIA Number42D2321600
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorGeoffrey Habermacher
Laboratory Phone(843) 652-8475
Laboratory LocationTidelands Health Urology At Market Common2200 Crow Ln Ste 303C, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2321603

Tidelands Health Urology At Georgetown · Georgetown, SC
Active · expires Apr 6, 2027
CLIA Number42D2321603
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorGeoffrey Habermacher
Laboratory Phone(843) 652-8475
Laboratory LocationTidelands Health Urology At Georgetown606 Black River Rd, Georgetown, SC 29440
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 1114780483. It was assigned to this organization in the NPPES registry on January 31, 2024. The provider is doing business as Tidelands Health Urology.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 4040 Highway 17 Unit 205, Murrells Inlet, SC 29576. The listed phone number is (843) 652-8475.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 10 practice at this address and 131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgetown Physician Associates, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Georgetown Physician Associates, LLC accept?

Health plans from 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 March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.