1. Home
  2. Directory
  3. South Carolina
  4. Pawleys Island
  5. Clinic Center
  6. NPI Profile

TIDELANDS HEALTH FAMILY MEDICINE
NPI 1306028832
Clinic/Center - Rural Health in Pawleys Island, SC

Active since November 27, 2007CLIA 42D0252166 · Microscopy
9699 OCEAN HWY, PAWLEYS ISLAND, SC 29585(843) 237-4297(843) 237-0495 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2020, Dec 19, 2019, Nov 14, 2019 and 3 more (6 updates tracked since 2018).

About Tidelands Health Family Medicine NPPES

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

TIDELANDS HEALTH FAMILY MEDICINE (NPI 1306028832) is a healthcare organization registered as a rural health in Pawleys Island, South Carolina and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through March 31, 2027 and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1306028832
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address9699 OCEAN HWYPawleys Island, SC 29585
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Phone(843) 237-4297
Fax(843) 237-0495
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateNovember 27, 2007
Last NPPES UpdateJune 25, 20206 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1306028832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
9699 OCEAN HWY, Pawleys Island, SC 29585
Open in Google Maps ↗

Other Names 1

Doing Business AsTidelands Health Family Medicine

Other Identifiers 2

MedicaidGP6554SC
MedicaidRHC202SC

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 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 Family Medicine 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 Family Medicine, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 75 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
Kathleen Boone, FNP
Nurse Practitioner
NPI 1538143391
9699 OCEAN HWY WACCMAAW MEDICAL CENTER
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
Joanna Chavez, FNP-BC
Nurse Practitioner
NPI 1013731132
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 520-8729
✔ PECOS✔ Accepts MedicareSame address
Franklin Clemons, Jr., L.P.C.
Mental Health Counselor
NPI 1669432878
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
Kimberley Drayton, M.D.
Family Practice
NPI 1386767226
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
Gerald Harmon, MD
Family Practice
NPI 1821073321
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
David Haseltine, M.D.
Internal Medicine
NPI 1396747820
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
Lawrence Mann, MD
Family Practice
NPI 1801800990
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-9238
✔ PECOS✔ Accepts MedicareSame address
Michael Remines, DO
Family Practice
NPI 1205891942
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
Cynthia Riley
Nurse Practitioner
NPI 1093429508
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOSSame address
Jack Sutcliffe
Family Practice
NPI 1548849623
9699 OCEAN HWY
Pawleys Island, SC 29585
(843) 237-4296
✔ PECOS✔ Accepts MedicareSame address
Nitesh Ainani, M.D
Interventional Cardiology
NPI 1952718074
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Nicholas Amoroso, M.D.
Interventional Cardiology
NPI 1326366378
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Bishnu Dhakal, M.D.
Cardiac Electrophysiology
NPI 1700070117
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Victor Diaz-Gonzalez, M.D.
Interventional Cardiology
NPI 1952303620
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Sierra Fisher Ard, NP
Nurse Practitioner
NPI 1821571514
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
John Ijem, M.D.
Cardiovascular Disease (Cardiology)
NPI 1457353138
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
William Meeks, MD
Cardiovascular Disease (Cardiology)
NPI 1477993392
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Jacqueline Sennott
Cardiovascular Disease (Cardiology)
NPI 1629411707
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Todoran, MD
Interventional Cardiology
NPI 1104945955
9653 OCEAN HWY
Pawleys Island, SC 29585
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.1 mi
Kathryn Epperson, MD
Family Practice
NPI 1801538269
64 BUSINESS CENTER DR
Pawleys Island, SC 29585
(843) 314-1314
✔ PECOS✔ Accepts Medicare1.3 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

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) 42D0252166

Tidelands Health Family Medicine At Pawleys Island · Pawleys Island, SC
Active · expires Mar 31, 2027
CLIA Number42D0252166
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorGerald E. Harmon MD
Laboratory Phone(843) 237-4296
Laboratory LocationTidelands Health Family Medicine At Pawleys Island9699 Ocean Hwy, Pawleys Island, SC 29585
CLIA data matches this NPI record on: Address Name
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.

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 1306028832. It was assigned to this organization in the NPPES registry on November 27, 2007. The provider is doing business as Tidelands Health Family Medicine.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 9699 Ocean Hwy, Pawleys Island, SC 29585. The listed phone number is (843) 237-4297.

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.

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 75 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgetown Physician Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0252166) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgetown Physician Associates, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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 June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.