TIDELANDS HEALTH VASCULAR SURGERY
NPI 1649944414
Surgery - Vascular Surgery in Murrells Inlet, SC

Active since August 05, 2021
4040 HIGHWAY 17 UNIT 104, MURRELLS INLET, SC 29576(843) 652-8390(843) 652-8325 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2021, Aug 5, 2021 (2 updates tracked since 2021).

About Tidelands Health Vascular Surgery NPPES

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

TIDELANDS HEALTH VASCULAR SURGERY (NPI 1649944414) is a healthcare organization registered as a vascular surgery in Murrells Inlet, South Carolina and active in the NPI registry since August 2021. The organization maintains 2 additional practice locations and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1649944414
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address4040 HIGHWAY 17 UNIT 104Murrells Inlet, SC 29576-5098
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883
Fax(843) 652-8325
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateAugust 5, 2021
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
NPI 1649944414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4040 HIGHWAY 17 UNIT 104, Murrells Inlet, SC 29576

Other Names 1

Doing Business AsTidelands Health Vascular Surgery

Secondary Practice Locations 2

Location 11014 Huger DrGeorgetown, SC 29440-3322 · Phone (843) 652-8390 · Fax (843) 652-8399
Location 22200 Crow LnMyrtle Beach, SC 29577-1663 · Phone (843) 652-8390 · Fax (843) 652-8399

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

Other Providers at the Same Location NPPES 5

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

Surgery
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC 29576
Family Medicine
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC 29576
Surgery
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC 29576
Physician Assistant
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC 29576
Anesthesiology (Pain Medicine)
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC 29576

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 1649944414. It was assigned to this organization in the NPPES registry on August 5, 2021. The provider is doing business as Tidelands Health Vascular Surgery.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 4040 Highway 17 Unit 104, Murrells Inlet, SC 29576. The listed phone number is (843) 652-8390.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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 August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.