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TIDELANDS HEALTH ASC LLC
NPI 1194344606
Clinic/Center - Ambulatory Surgical in Myrtle Beach, SC

Active since April 14, 2020CLIA 42D2171234 · Waiver
2200 CROW LN STE 102, MYRTLE BEACH, SC 29577(843) 848-5120(843) 848-5125 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2026, Apr 16, 2020 (2 updates tracked since 2020).

About Tidelands Health Asc Llc NPPES

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

TIDELANDS HEALTH ASC LLC (NPI 1194344606), doing business as Tidelands Health Surgery Center At The Market Common, is a healthcare organization registered as an ambulatory surgical in Myrtle Beach, South Carolina and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Erin Beadle, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1194344606
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTIDELANDS HEALTH ASC LLC
Location Address2200 CROW LN STE 102Myrtle Beach, SC 29577-1663
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000 · Fax (843) 848-5125
Phone(843) 848-5120
Fax(843) 848-5125
Organization SubpartNo
Authorized OfficialErin BeadleEvp/cfo · (843) 520-8617
Enumeration DateApril 14, 2020
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1194344606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2200 CROW LN STE 102, Myrtle Beach, SC 29577
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Other Names 1

Doing Business AsTidelands Health Surgery Center At The Market Common

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 Health Asc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tidelands Health ASC LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christopher Bach, M.D.
Gastroenterology
NPI 1821313057
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare9.5 mi
Raif Elsakr, M.D.
Gastroenterology
NPI 1083695704
4040 HIGHWAY 17 UNIT 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare9.7 mi
Robert Pendley, MD
Gastroenterology
NPI 1750370029
4040 HIGHWAY 17 UNIT 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare9.7 mi

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

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 42D2171234

Tidelands Health Medical Park At Market Common, LLC Dba Tidelands Health Imaging · Myrtle Beach, SC
Active · expires Aug 27, 2027
CLIA Number42D2171234
Laboratory TypeMedical Imaging Services
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDr. Robert Whitehead
Laboratory Phone(843) 652-1137
Laboratory LocationTidelands Health Medical Park At Market Common, LLC Dba Tidelands Health Imaging2200 Crow Lane, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Address
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 Tidelands Health ASC LLC's NPI number?

The NPI number for Tidelands Health ASC LLC is 1194344606. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as Tidelands Health Surgery Center at The Market Common.

Where is Tidelands Health ASC LLC located?

Tidelands Health ASC LLC is located at 2200 Crow Ln Ste 102, Myrtle Beach, SC 29577. The listed phone number is (843) 848-5120.

What is Tidelands Health ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Tidelands Health ASC LLC enrolled in Medicare?

Yes. Tidelands Health ASC LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidelands Health ASC LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Gastroenterology, reassign their Medicare billing to Tidelands Health ASC 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tidelands Health ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2171234) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tidelands Health ASC LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Tidelands Health ASC 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 Health ASC LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.