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TIDELANDS HEALTH WOUND HEALING CENTER
NPI 1548604366
Emergency Medicine - Undersea and Hyperbaric Medicine in Murrells Inlet, SC

Active since April 23, 2013
4367 RIVERWOOD DR UNIT 104, MURRELLS INLET, SC 29576(843) 652-8020(843) 652-8021 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2020, Dec 19, 2019, Nov 15, 2019 and 4 more (7 updates tracked since 2018).

About Tidelands Health Wound Healing Center NPPES

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

TIDELANDS HEALTH WOUND HEALING CENTER (NPI 1548604366) is a healthcare organization registered as an undersea and hyperbaric medicine in Murrells Inlet, South Carolina and active in the NPI registry since April 2013. The organization maintains a secondary practice location in Murrells Inlet and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1548604366
Entity TypeOrganization
Primary Taxonomy207PE0005X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address4367 RIVERWOOD DR UNIT 104Murrells Inlet, SC 29576-4381
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Phone(843) 652-8020
Fax(843) 652-8021
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateApril 23, 2013
Last NPPES UpdateJune 25, 20207 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1548604366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
4367 RIVERWOOD DR UNIT 104, Murrells Inlet, SC 29576
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Other Names 1

Doing Business AsTidelands Health Wound Healing Center

Secondary Practice Location 1

Location 14033 Highway 17Murrells Inlet, SC 29576-5032 · Phone (843) 652-8020

Other Identifiers 1

MedicaidGP6251SC

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 of North Carolina, BlueCross BlueShield of South 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 Wound Healing Center 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 Wound Healing Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 131 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
Matthew Gibson, M.D.
Vascular Surgery
NPI 1316386303
4367 RIVERWOOD DR UNIT 130
Murrells Inlet, SC 29576
(843) 652-8120
✔ PECOS✔ Accepts MedicareSame address
Steven Sponaugle, FNP-C
Nurse Practitioner
NPI 1679161129
4367 RIVERWOOD DR UNIT 110
Murrells Inlet, SC 29576
(843) 652-8046
✔ PECOS✔ Accepts MedicareSame address
Portia Toon, FNP
Nurse Practitioner
NPI 1790446847
4367 RIVERWOOD DR UNIT 140
Murrells Inlet, SC 29576
(843) 652-8020
✔ PECOSSame address
Beth Charlette, CNM
Certified Nurse Midwife (CNM)
NPI 1124752548
4017 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts Medicare0.1 mi
Erica Richardson
Certified Nurse Midwife (CNM)
NPI 1013791953
4017 HIGHWAY 17 STE 100
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS0.1 mi
Catherine Bourne
Nurse Practitioner
NPI 1164029104
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare0.2 mi
Samuel Daniel, MD
Gastroenterology
NPI 1083622716
4040 HIGHWAY 17 UNIT 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare0.2 mi
Mckenzye Dehart Mccoyle, DO
Neurology
NPI 1083237911
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare0.2 mi
Geoffrey Habermacher, M.D., PHD
Urology
NPI 1083882096
4040 HIGHWAY 17 UNIT 205
Murrells Inlet, SC 29576
(843) 652-8475
✔ PECOS✔ Accepts Medicare0.2 mi
Justin Head, D.O.
Orthopedic Surgery
NPI 1598105140
4040 HIGHWAY 17 UNIT 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare0.2 mi
Katie Kennedy, DO
Hematology/Oncology
NPI 1104357698
4181 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-3600
✔ PECOS✔ Accepts Medicare0.2 mi
Gretchen Meyer, M.D.
Medical Oncology
NPI 1376598227
4181 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-3600
✔ PECOS✔ Accepts Medicare0.2 mi
Vinh Doan, MD
Family Practice
NPI 1265927792
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts Medicare0.2 mi
Malcolm Eggart, M.D.
Neurosurgery
NPI 1104142223
4040 HIGHWAY 17 STE 306
Murrells Inlet, SC 29576
(843) 652-8115
✔ PECOS✔ Accepts Medicare0.2 mi
Salim Ghorra, MD
General Surgery
NPI 1336143908
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 652-8390
✔ PECOS✔ Accepts Medicare0.2 mi
Jesse Lewis, M.D.
Hand Surgery
NPI 1770889131
4040 HIGHWAY 17 UNIT 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare0.2 mi
Melissa Moore, M.D.
Obstetrics/Gynecology
NPI 1144548884
4017 HIGHWAY 17 BY-PASS
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS0.3 mi
Chrysoula Pappa, M.D.
Rheumatology
NPI 1114177847
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare0.3 mi
Ganesha Perera, MD
Vascular Surgery
NPI 1689746299
4040 HIGHWAY 17 UNIT 306
Murrells Inlet, SC 29576
(843) 792-1414
✔ PECOS✔ Accepts Medicare0.3 mi
George Wilkinson, MD
Emergency Medicine
NPI 1790787406
4367 HIGHWAY 17 BYPASS SUITE 140
Murrells Inlet, SC 29576
(843) 652-8020
✔ PECOS✔ Accepts Medicare0.3 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.

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 1548604366. It was assigned to this organization in the NPPES registry on April 23, 2013. The provider is doing business as Tidelands Health Wound Healing Center.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 4367 Riverwood Dr Unit 104, Murrells Inlet, SC 29576. The listed phone number is (843) 652-8020.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

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, 3 practice at this address and 131 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 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.