TIDELANDS HEALTH FAMILY MEDICINE
NPI 1508849837
Family Medicine in Georgetown, SC

Active since November 21, 2005
1075 N FRASER ST, GEORGETOWN, SC 29440(843) 546-5128(843) 527-4027 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2020, Nov 18, 2019, Jun 16, 2018 and 1 more (4 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 1508849837) is a healthcare organization registered as a family medicine in Georgetown, South Carolina and active in the NPI registry since November 2005. The organization maintains 2 additional practice locations and lists Elizabeth Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1508849837
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address1075 N FRASER STGeorgetown, SC 29440-2848
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8330 · Fax (843) 652-8422
Fax(843) 527-4027
Organization SubpartYesParent: Tidelands Hemingway Medical Center
Authorized OfficialElizabeth WardEvp & Cfo · (843) 527-7102
Enumeration DateNovember 21, 2005
Last NPPES UpdateJune 15, 20204 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
✔ NPI 1508849837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1075 N FRASER ST, Georgetown, SC 29440

Other Names 1

Doing Business AsTidelands Health Family Medicine

Secondary Practice Locations 2

Location 1456 N Main StHemingway, SC 29554-9190 · Phone (803) 546-5128 · Fax (843) 527-4027
Location 2701 S Morgan AveAndrews, SC 29510-2959 · Phone (843) 546-5128 · Fax (843) 527-4027

Other Identifiers 3

MedicaidGP6616 ANDREWSSC
MedicaidGP6617 HEMINGWAYSC
MedicaidGP6558 G'TOWNSC

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

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, 1 practice at this address and 70 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
Nurse Practitioner
NPI 1053817411
1011 N FRASER ST
Georgetown, SC 29440
(843) 692-1000
✔ PECOSSame address
Gastroenterology
NPI 1487822730
1011 N FRASER ST
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871093773
1011 N FRASER ST
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972547362
1011 N FRASER ST
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1699955005
903 N FRASER ST # A
Georgetown, SC 29440
(843) 527-1331
✔ PECOS0.1 mi
Family Practice
NPI 1912980822
1068 N FRASER ST
Georgetown, SC 29440
(843) 545-7200
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1578669297
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1467477661
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1437116241
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1477413367
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare0.2 mi
Pain Management
NPI 1881120764
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts Medicare0.4 mi
Orthopedic Surgery
NPI 1679587232
606 BLACK RIVER RD STE 100
Georgetown, SC 29440
(843) 527-1800
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1386602449
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS0.4 mi
General Surgery
NPI 1750398525
606 BLACK RIVER RD STE 301
Georgetown, SC 29440
(843) 652-8390
✔ PECOS0.4 mi
Certified Nurse Midwife (CNM)
NPI 1902104995
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS0.4 mi
Physical Medicine and Rehabilitation
NPI 1801823745
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts Medicare0.4 mi
Gastroenterology
NPI 1598721938
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 652-8290
✔ PECOS0.4 mi
Infectious Disease
NPI 1679606867
1014 HUGER DR
Georgetown, SC 29440
(843) 848-5350
✔ PECOS✔ Accepts Medicare0.5 mi
Cardiovascular Disease (Cardiology)
NPI 1811481310
1014 HUGER DR
Georgetown, SC 29440
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.5 mi
Interventional Cardiology
NPI 1215294749
1014 HUGER DR
Georgetown, SC 29440
(843) 235-3131
✔ PECOS✔ Accepts Medicare0.5 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.

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 1508849837. It was assigned to this organization in the NPPES registry on November 21, 2005. The provider is doing business as Tidelands Health Family Medicine.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 1075 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 546-5128.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 1 practice at this address and 70 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 June 15, 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.