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: July 26, 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
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

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

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, 2026
CLIA Number42D2311505
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
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.

Other Providers at the Same Location NPPES 5

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

Urology
4040 HIGHWAY 17 UNIT 205
MURRELLS INLET, SC 29576
Urology
4040 HIGHWAY 17 UNIT 205
MURRELLS INLET, SC 29576
Physician Assistant
4040 HIGHWAY 17 UNIT 205
MURRELLS INLET, SC 29576
Physician Assistant (Medical)
4040 HIGHWAY 17 UNIT 205
MURRELLS INLET, SC 29576
Nurse Practitioner (Acute Care)
4040 HIGHWAY 17 UNIT 205
MURRELLS INLET, SC 29576

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.

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 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 March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.