GEORGETOWN PHYSICIAN ASSOCIATES, LLC
NPI 1477163988
Internal Medicine - Endocrinology, Diabetes & Metabolism in Myrtle Beach, SC

Q: What is Georgetown Physician Associates, LLC's NPI number?

The NPI number for Georgetown Physician Associates, LLC is 1477163988. It was assigned to this organization in the NPPES registry on August 10, 2020. The provider is doing business as Tidelands Health Endocrinology.

Q: What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since August 10, 2020

2200 CROW LN STE 301, MYRTLE BEACH, SC 29577(843) 848-5340(843) 848-5345 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Georgetown Physician Associates, Llc NPPES

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

GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI 1477163988), doing business as Tidelands Health Endocrinology, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Myrtle Beach, South Carolina and active in the NPI registry since August 2020. The organization lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1477163988

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC

Location Address2200 CROW LN STE 301Myrtle Beach, SC 29577-1663

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 652-8226

Phone(843) 848-5340

Fax(843) 848-5345

Organization SubpartNo

Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102

Enumeration DateAugust 10, 2020

NPPES CertifiedAugust 10, 2020

✔ NPI 1477163988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2200 CROW LN STE 301, Myrtle Beach, SC 29577

Open in Google Maps ↗

Other Names 1

Doing Business AsTidelands Health Endocrinology

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 of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

LISA CENTILLI D.O.

Family Medicine