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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: October 18, 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
Phone(843) 652-8390
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North 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 Vascular Surgery 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 Vascular Surgery, which bills Medicare for the services they deliver. Of these, 10 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
Christopher Bach, M.D.
Gastroenterology
NPI 1821313057
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts MedicareSame address
Scott Callaghan, D.O.
Neurology
NPI 1497747018
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Thomas Ellison, MD
Orthopedic Surgery
NPI 1780630574
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Carrie Gwyer, FNP
Nurse Practitioner
NPI 1467837369
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts MedicareSame address
Jack Johnston, MD
General Surgery
NPI 1033590054
4040 HIGHWAY 17 UNIT 104
Murrells Inlet, SC 29576
(864) 561-1716
✔ PECOS✔ Accepts MedicareSame address
Michael Mccaffrey, M.D.
Neurology
NPI 1902863103
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Daniel Michalski, AGACNP
Nurse Practitioner
NPI 1841830940
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Chrysoula Pappa, M.D.
Rheumatology
NPI 1114177847
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts MedicareSame address
Ganesha Perera, MD
Vascular Surgery
NPI 1689746299
4040 HIGHWAY 17 UNIT 306
Murrells Inlet, SC 29576
(843) 792-1414
✔ PECOS✔ Accepts MedicareSame address
Valerie Lasry, MD
Obstetrics/Gynecology
NPI 1750353272
4017 HIGHWAY 17 STE 100
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts MedicareSame address
Sonia Ceballos, MD
Obstetrics/Gynecology
NPI 1932391067
4017 HIGHWAY 17 STE 100
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts Medicare0.1 mi
Brittany Stancil, NURSE PRACTITIONER
Nurse Practitioner
NPI 1811759038
4017 HIGHWAY 17 STE 200
Murrells Inlet, SC 29576
(843) 651-4600
✔ PECOS✔ Accepts Medicare0.1 mi
Sebastian Abadie, M.D.
Gastroenterology
NPI 1407875586
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare0.1 mi
Malcolm Eggart, M.D.
Neurosurgery
NPI 1104142223
4040 HIGHWAY 17 STE 306
Murrells Inlet, SC 29576
(843) 652-8115
✔ PECOS✔ Accepts Medicare0.1 mi
Salim Ghorra, MD
General Surgery
NPI 1336143908
4040 HIGHWAY 17 UNIT 202
Murrells Inlet, SC 29576
(843) 652-8390
✔ PECOS✔ Accepts Medicare0.1 mi
William Greer, MD
Orthopedic Surgery
NPI 1649288705
4040 HIGHWAY 17 SUITE 101
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare0.1 mi
Jesse Lewis, M.D.
Hand Surgery
NPI 1770889131
4040 HIGHWAY 17 UNIT 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare0.1 mi
Vinh Doan, MD
Family Practice
NPI 1265927792
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts Medicare0.1 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
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 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.

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, 10 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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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 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.