TIDELANDS HEALTH BREAST CENTER
NPI 1528482015
Surgery in Murrells Inlet, SC

NPI Status: Active since February 05, 2014

Contact Information

4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576
Phone: (843) 651-3308

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  • Organization
  • Surgery
  • Accepts Insurance

About TIDELANDS HEALTH BREAST CENTER

This page provides the complete NPI Profile along with additional information for Tidelands Health Breast Center, a provider established in Murrells Inlet, South Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1528482015 assigned on February 2014. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Tidelands Health Breast Center. The authorized official of this NPI record is Elizabeth Sutherland Ward (Evp & Cfo)

NPI
1528482015
Provider Legal Name
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Other Organization Name
TIDELANDS HEALTH BREAST CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4181 HIGHWAY 17 MURRELLS INLET, SC 29576
Location Phone
(843) 651-3308
Mailing Address
PO BOX 421718 GEORGETOWN, SC 29442
Mailing Phone
(843) 520-8883
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2014
Last Update Date
06-15-2020
Code Navigator

A surgeon like Tidelands Health Breast Center treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Secondary Locations

  • 2405 N Fraser St
    Georgetown, SC 29440
    (843) 651-3308
  • 8203 Nigels Dr
    Myrtle Beach, SC 29572
    (843) 839-2834

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License State
SC
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue Pee Dee Bronze 1 - HMO
  • Blue Pee Dee Bronze 2 - HMO
  • Blue Pee Dee Gold 1 - HMO
  • Blue Pee Dee Silver 1 - HMO
  • Blue Pee Dee Silver 2 - HMO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Deluxe - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Deluxe - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELIZABETH SUTHERLAND WARD

Authorized Official Title
EVP & CFO
Authorized Official Phone
(843) 527-7102

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP6476MEDICAID (05)SC 

Reviews for TIDELANDS HEALTH BREAST CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528482015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254888402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 8 + 4 + 0 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1528482015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

COASTAL CAROLINA BREAST CENTER LLC

Surgery

4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576

(843) 651-3308

TAMA HARRELL LMSW

Social Worker

4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576

(843) 652-6607

MRS. KRISTYN MARIE GERROL FNP-BC

Nurse Practitioner

4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576

(843) 651-3308

DR. ANGELA MARIE MISLOWSKY MD

Surgery

4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576

(843) 651-3308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528482015, enumerated as an "organization" on February 05, 2014.

The provider is located at 4181 HIGHWAY 17 MURRELLS INLET, SC 29576 and the phone number is (843) 651-3308.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.