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TIDELANDS ANESTHESIA GROUP LLC
NPI 1144017781
Anesthesiology in Georgetown, SC

Active since April 24, 2025
606 BLACK RIVER RD, GEORGETOWN, SC 29440(843) 527-7000(843) 520-8403 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tidelands Anesthesia Group Llc NPPES

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

TIDELANDS ANESTHESIA GROUP LLC (NPI 1144017781) is a healthcare organization registered as an anesthesiology in Georgetown, South Carolina and active in the NPI registry since April 2025. The organization maintains 3 additional practice locations and lists Erin Beadle, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1144017781
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameTIDELANDS ANESTHESIA GROUP LLC
Location Address606 BLACK RIVER RDGeorgetown, SC 29440-3304
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000 · Fax (843) 520-8403
Phone(843) 527-7000
Fax(843) 520-8403
Organization SubpartNo
Authorized OfficialErin BeadleEvp & Cfo · (843) 520-8617
Enumeration DateApril 24, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1144017781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
606 BLACK RIVER RD, Georgetown, SC 29440
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14040 Highway 17 Unit 102Murrells Inlet, SC 29576-5098 · Phone (843) 652-8210
Location 22200 Crow Ln Ste 102Myrtle Beach, SC 29577-1663 · Phone (843) 848-5120
Location 34070 Highway 17Murrells Inlet, SC 29576-5033 · Phone (843) 652-1000

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 Anesthesia Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Tidelands Anesthesia Group LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)44
Anesthesiology20
General Surgery1

Nearest to this location (20)

See all 65
Melissa Burrow, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386611184
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ Accepts MedicareSame address
Jeffrey Meinert
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689566119
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ Accepts MedicareSame address
Loy Patterson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235115759
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7100
✔ Accepts MedicareSame address
Kristen Drenga
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104365857
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 240-8047
✔ Accepts MedicareSame address
Ruvim Leontyev, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003596016
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ Accepts MedicareSame address
Pam Locke, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144276569
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 240-8047
✔ Accepts MedicareSame address
Cynthia Shields, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932109394
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ Accepts MedicareSame address
Steven Petersen, MD
Anesthesiology
NPI 1619997798
874 PRESERVATION CIR
Pawleys Island, SC 29585
(920) 217-9708
✔ PECOS✔ Accepts Medicare13 mi
Mark Ballard, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841563442
130 PRESERVATION CIR
Pawleys Island, SC 29585
(843) 240-8047
✔ Accepts Medicare13 mi
Nicholas Gentry, DO
Anesthesiology
NPI 1629538954
4731 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 839-7246
✔ PECOS✔ Accepts Medicare18 mi
Nicole Cesaire, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194535617
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1000
✔ Accepts Medicare19 mi
Amy Dudzinski, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629228721
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1000
✔ Accepts Medicare19 mi
Chloe Bond, DNAP, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528799517
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1000
✔ Accepts Medicare19 mi
Ella Tisdale, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568228393
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1000
✔ Accepts Medicare19 mi
Ihor Melnytskyy, M.D.
Anesthesiology
NPI 1184882789
300 SINGLETON RIDGE ROAD CONWAY MEDICAL CENTER
Conway, SC 29526
(843) 347-7111
✔ PECOS✔ Accepts Medicare32 mi
Zakary Rich
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457928772
5002 PINE LAKE DR
Myrtle Beach, SC 29577
(586) 747-2329
✔ Accepts Medicare35 mi
Jon Bennett, DO
Anesthesiology
NPI 1366427841
7900 N KINGS HWY
Myrtle Beach, SC 29572
(843) 449-3381
✔ PECOS✔ Accepts Medicare37 mi
Jerome Ciancione, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295707040
7900 N KINGS HWY
Myrtle Beach, SC 29572
(843) 449-3381
✔ Accepts Medicare37 mi
Bernadette Harrold, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710176185
7900 N KINGS HWY
Myrtle Beach, SC 29572
(843) 449-3381
✔ Accepts Medicare37 mi
Derek Shirey, DO
Anesthesiology
NPI 1467913608
167 ASHLEY AVE
Charleston, SC 29425
(843) 792-1606
✔ PECOS✔ Accepts Medicare56 mi
See all 65 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 Tidelands Anesthesia Group LLC's NPI number?

The NPI number for Tidelands Anesthesia Group LLC is 1144017781. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Tidelands Anesthesia Group LLC located?

Tidelands Anesthesia Group LLC is located at 606 Black River Rd, Georgetown, SC 29440. The listed phone number is (843) 527-7000.

What is Tidelands Anesthesia Group LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Tidelands Anesthesia Group LLC enrolled in Medicare?

Yes. Tidelands Anesthesia Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidelands Anesthesia Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 3 Medicare specialties reassign their Medicare billing to Tidelands Anesthesia Group 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 Certified Registered Nurse Anesthetist (CRNA) (44), Anesthesiology (20) and General Surgery (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tidelands Anesthesia Group LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Tidelands Anesthesia Group 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 Tidelands Anesthesia Group LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.