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TIDEWATER SURGICAL GROUP, PA
NPI 1598835639
Surgery in North Charleston, SC

Active since November 08, 2006
2831B TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-8880(843) 797-8884 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidewater Surgical Group, Pa NPPES

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

TIDEWATER SURGICAL GROUP, PA (NPI 1598835639) is a healthcare organization registered as a surgery in North Charleston, South Carolina and active in the NPI registry since November 2006. The organization lists Lorraine Veronica Tyler, Practice Administraot, as its authorized official.

NPPES Registry Identity

NPI1598835639
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTIDEWATER SURGICAL GROUP, PA
Location Address2831B TRICOM STNorth Charleston, SC 29406-9172
Mailing Address2831b Tricom StNorth Charleston, SC 29406-9172 · (843) 797-8880 · Fax (843) 797-8884
Phone(843) 797-8880
Fax(843) 797-8884
Organization SubpartNo
Authorized OfficialLorraine Veronica TylerPractice Administraot · (843) 797-8880
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598835639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · G93021
Definition
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.
2831B TRICOM ST, North Charleston, SC 29406
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Other Identifiers 1

MedicaidGP4370SC

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 Molina Healthcare.Insurance ›

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 Tidewater Surgical Group, PA's NPI number?

The NPI number for Tidewater Surgical Group, PA is 1598835639. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Tidewater Surgical Group, PA located?

Tidewater Surgical Group, PA is located at 2831B Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-8880.

What is Tidewater Surgical Group, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Tidewater Surgical Group, PA accept?

Health plans from Molina Healthcare list Tidewater Surgical Group, PA 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 Tidewater Surgical Group, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.