TIDELANDS HEALTH ONCOLOGY
NPI 1629482435
Internal Medicine - Medical Oncology in Georgetown, SC
NPI Status: Active since June 19, 2014
Contact Information
2405 N FRASER ST
GEORGETOWN, SC
ZIP 29440
Phone: (843) 545-7274
Fax: (843) 545-8315
- Organization
- Internal Medicine
- Medical Oncology
- Accepts Insurance
- CLIA Number: 42D0999795
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-30-2026
About TIDELANDS HEALTH ONCOLOGY
This page provides the complete NPI Profile along with additional information for Tidelands Health Oncology, an internist established in Georgetown, South Carolina operating as a Internal Medicine, focusing in medical oncology . The healthcare provider is registered in the NPI registry with number 1629482435 assigned on June 2014. The practitioner's primary taxonomy code is 207RX0202X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Tidelands Health Oncology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Tidelands Health Oncology. The authorized official of this NPI record is Elizabeth Sutherland Ward (Evp & Cfo)
- NPI
- 1629482435
- Provider Legal Name
- GEORGETOWN PHYSICIAN ASSOCIATES, LLC
- Other Organization Name
- TIDELANDS HEALTH ONCOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2405 N FRASER ST GEORGETOWN, SC 29440
- Location Phone
- (843) 545-7274
- Location Fax
- (843) 545-8315
- Mailing Address
- PO BOX 421718 GEORGETOWN, SC 29442
- Mailing Phone
- (843) 520-8883
- Mailing Fax
- (843) 545-8315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2014
- Last Update Date
- 06-25-2020
- Code Navigator
An internist like Tidelands Health Oncology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 4181 Highway 17
Murrells Inlet, SC 29576
(843) 652-3600 - 1220 21st Ave N
Myrtle Beach, SC 29577
(843) 652-3600
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
Internal Medicine Medical Oncology
- Taxonomy Code
- 207RX0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - 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
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - 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
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Premier - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Essential - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Gold Value - HMO
- Molina Gold Value Plus with Adult Dental and Vision - HMO
- Molina Gold Value Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
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.
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 |
|---|---|---|---|
| GP7345 | MEDICAID (05) | SC | |
| GP6530 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0999795
- Facility Type
- Physician Office
- Certificate Effective Date
- December 01, 2024
- Certificate Expiration Date
- November 30, 2026
- Laboratory Director
- DR. MICHAEL RENTZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tidelands Health Oncology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TIDELANDS HEALTH ONCOLOGY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629482435, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
GEORGETOWN, SC 29440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629482435, enumerated as an "organization" on June 19, 2014.
The provider is located at 2405 N FRASER ST GEORGETOWN, SC 29440 and the phone number is (843) 545-7274.
Internal Medicine with taxonomy code 207RX0202X and a focus in Medical Oncology.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
