TIDELANDS HEALTH ONCOLOGY
NPI 1629482435
Internal Medicine - Medical Oncology in Georgetown, SC

Active since June 19, 2014
2405 N FRASER ST, GEORGETOWN, SC 29440(843) 545-7274(843) 545-8315 Get Directions Write a Review

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

Record update history: Jun 25, 2020, Dec 19, 2019, Nov 15, 2019 and 2 more (5 updates tracked since 2018).

About Tidelands Health Oncology NPPES

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

TIDELANDS HEALTH ONCOLOGY (NPI 1629482435) is a healthcare organization registered as a medical oncology in Georgetown, South Carolina and active in the NPI registry since June 2014. The organization maintains 2 additional practice locations and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629482435
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address2405 N FRASER STGeorgetown, SC 29440
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Fax(843) 545-8315
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateJune 19, 2014
Last NPPES UpdateJune 25, 20205 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1629482435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
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.
2405 N FRASER ST, Georgetown, SC 29440

Other Names 1

Doing Business AsTidelands Health Oncology

Secondary Practice Locations 2

Location 11220 21st Ave NMyrtle Beach, SC 29577-7401 · Phone (843) 652-3600 · Fax (843) 652-8301
Location 24181 Highway 17Murrells Inlet, SC 29576-5019 · Phone (843) 652-3600 · Fax (843) 652-3602

Other Identifiers 2

MedicaidGP7345SC
MedicaidGP6530SC

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

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 Oncology 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 Oncology, which bills Medicare for the services they deliver. Of these, 75 practice 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
Hematology/Oncology
NPI 1033102538
2405 N FRASER ST
Georgetown, SC 29440
(843) 545-7274
✔ PECOS0.3 mi
Internal Medicine
NPI 1043397391
2405 N FRASER ST
Georgetown, SC 29440
(843) 545-7274
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1083658025
2405 N FRASER ST
Georgetown, SC 29440
(843) 651-3308
✔ PECOS✔ Accepts Medicare0.4 mi
Hematology/Oncology
NPI 1639358310
2405 N FRASER ST
Georgetown, SC 29440
(843) 545-7274
✔ PECOS✔ Accepts Medicare0.4 mi
Hematology/Oncology
NPI 1184712093
2405 N FRASER ST
Georgetown, SC 29440
(843) 545-7274
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1386932192
2405 N FRASER ST
Georgetown, SC 29440
(843) 651-3308
✔ PECOS✔ Accepts Medicare0.4 mi
Medical Oncology
NPI 1255630505
2405 N FRASER ST
Georgetown, SC 29440
(843) 545-7274
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1851323448
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1801419213
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare1.8 mi
Emergency Medicine
NPI 1467477661
1075 N FRASER ST
Georgetown, SC 29440
(843) 527-4442
✔ PECOS✔ Accepts Medicare1.8 mi
Gastroenterology
NPI 1487822730
1011 N FRASER ST
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts Medicare1.9 mi
Vascular Surgery
NPI 1699955005
903 N FRASER ST # A
Georgetown, SC 29440
(843) 527-1331
✔ PECOS2.0 mi
Pain Management
NPI 1881120764
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts Medicare2.3 mi
Orthopedic Surgery
NPI 1679587232
606 BLACK RIVER RD STE 100
Georgetown, SC 29440
(843) 527-1800
✔ PECOS✔ Accepts Medicare2.3 mi
Obstetrics/Gynecology
NPI 1386602449
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS2.3 mi
General Surgery
NPI 1750398525
606 BLACK RIVER RD STE 301
Georgetown, SC 29440
(843) 652-8390
✔ PECOS2.3 mi
Certified Nurse Midwife (CNM)
NPI 1902104995
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS2.3 mi
Physical Medicine and Rehabilitation
NPI 1801823745
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts Medicare2.3 mi
Infectious Disease
NPI 1679606867
1014 HUGER DR
Georgetown, SC 29440
(843) 848-5350
✔ PECOS✔ Accepts Medicare2.4 mi
Cardiovascular Disease (Cardiology)
NPI 1811481310
1014 HUGER DR
Georgetown, SC 29440
(843) 235-3131
✔ PECOS✔ Accepts Medicare2.4 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 1629482435. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider is doing business as Tidelands Health Oncology.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 2405 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 545-7274.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

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, 75 practice 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 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.