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WACCAMAW GASTROENTEROLOGY, PC
NPI 1548213564
Internal Medicine - Gastroenterology in Georgetown, SC

Active since May 19, 2006CLIA Certified · 2 labs
1011 N FRASER ST, GEORGETOWN, SC 29440(843) 527-3428(843) 546-8216 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waccamaw Gastroenterology, Pc NPPES

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

WACCAMAW GASTROENTEROLOGY, PC (NPI 1548213564) is a healthcare organization registered as a gastroenterology in Georgetown, South Carolina and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Laurence Havens Ballou, Partner, as its authorized official.

NPPES Registry Identity

NPI1548213564
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameWACCAMAW GASTROENTEROLOGY, PC
Location Address1011 N FRASER STGeorgetown, SC 29440-2848
Mailing Address1011 N Fraser StGeorgetown, SC 29440-2848 · (843) 527-3428 · Fax (843) 546-8216
Phone(843) 527-3428
Fax(843) 546-8216
Organization SubpartNo
Authorized OfficialLaurence Havens BallouPartner · (843) 527-3428
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1548213564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1011 N FRASER ST, Georgetown, SC 29440
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN5248SC
MedicaidGP1579SC

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

CLIA Laboratory Certificates CMS CLIA 2

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 42D0251070

Waccamaw Gastroenterology · Georgetown, SC
Active · expires Aug 31, 2026
CLIA Number42D0251070
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaurence H. Ballou
Laboratory Phone(843) 527-3428
Laboratory LocationWaccamaw Gastroenterology1011 N Fraser St, Georgetown, SC 29440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2013759

Waccamaw Gastroenterology · Murrells Inlet, SC
Active · expires Sep 23, 2026
CLIA Number42D2013759
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorLaurence H. Ballou
Laboratory Phone(843) 527-3428
Laboratory LocationWaccamaw Gastroenterology4040 Highway 17, Suite 302, Murrells Inlet, SC 29576
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

ERICA KOUNS FNP-BC
Nurse Practitioner (Family)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 692-1000
MR. JOHN LESTER ORCHARD MD
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-3428
GEORGETOWN PHYSICIAN ASSOCIATES
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-3428
GEORGE MICHAEL ORR M.D.
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-3425
DR. PAUL WESLEY BENSON M.D.
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-3428
GEORGETOWN GASTROENTEROLOGY, LLC
Internal Medicine (Gastroenterology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-3428
INLET CARDIOPULMONARY & ASSOCIATES
Internal Medicine (Interventional Cardiology)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 235-3131
BRIDGET MCDOWELL ORLANDI FNP-C
Nurse Practitioner (Family)
1011 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-3428

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 Waccamaw Gastroenterology, PC's NPI number?

The NPI number for Waccamaw Gastroenterology, PC is 1548213564. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Waccamaw Gastroenterology, PC located?

Waccamaw Gastroenterology, PC is located at 1011 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 527-3428.

What is Waccamaw Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Waccamaw Gastroenterology, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Waccamaw Gastroenterology, PC was last updated on February 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.