TIDELANDS COMMUNITY PALLIATIVE CARE
NPI 1669878559
Family Medicine - Hospice and Palliative Medicine in Georgetown, SC

Q: What is Tidelands Ghs Joint Venture LLC's NPI number?

The NPI number for Tidelands Ghs Joint Venture LLC is 1669878559. It was assigned to this organization in the NPPES registry on November 5, 2014. The provider is doing business as Tidelands Community Palliative Care.

Q: What is Tidelands Ghs Joint Venture LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Active since November 05, 2014

2591 N FRASER ST, GEORGETOWN, SC 29440(843) 546-3410(843) 527-6964 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2023, Oct 27, 2023 (2 updates tracked since 2023).

On this page

About Tidelands Community Palliative Care NPPES

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

TIDELANDS COMMUNITY PALLIATIVE CARE (NPI 1669878559) is a healthcare organization registered as a hospice and palliative medicine in Georgetown, South Carolina and active in the NPI registry since November 2014. The organization lists Julia Doar Stalvey, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669878559

Entity TypeOrganization

Primary Taxonomy207QH0002X

Legal Business NameTIDELANDS GHS JOINT VENTURE LLC

Location Address2591 N FRASER STGeorgetown, SC 29440-6411

Mailing Address2591 N Fraser StGeorgetown, SC 29440-6411 · (843) 546-3410 · Fax (843) 527-6964

Phone(843) 546-3410

Fax(843) 527-6964

Organization SubpartYes

Authorized OfficialJulia Doar StalveyCfo · (843) 546-3410

Enumeration DateNovember 5, 2014

Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration

NPPES CertifiedNovember 14, 2023

✔ NPI 1669878559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

2591 N FRASER ST, Georgetown, SC 29440

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Other Names 1

Doing Business AsTidelands Community Palliative Care

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 BlueCross BlueShield of South Carolina, Molina Healthcare.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 Community Palliative Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tidelands Community Palliative Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Angela Sheridan, FNP

Nurse Practitioner

NPI 1043460215

606 BLACK RIVER RD
Georgetown, SC 29440

(843) 651-0044

✔ PECOS2.2 mi

Shana Mackin, NP-C

Nurse Practitioner

NPI 1538755301

2591 N FRASER ST
Georgetown, SC 29440

(843) 546-3410

✔ PECOS✔ Accepts Medicare5.0 mi

Amanda Copeland, NP

Nurse Practitioner

NPI 1417490640

1600 FARROW PKWY UNIT B6
Myrtle Beach, SC 29577

(843) 546-3410

✔ PECOS✔ Accepts Medicare53 mi

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 Tidelands Ghs Joint Venture LLC's NPI number?

The NPI number for Tidelands Ghs Joint Venture LLC is 1669878559. It was assigned to this organization in the NPPES registry on November 5, 2014. The provider is doing business as Tidelands Community Palliative Care.

Where is Tidelands Ghs Joint Venture LLC located?

Tidelands Ghs Joint Venture LLC is located at 2591 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 546-3410.

What is Tidelands Ghs Joint Venture LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Tidelands Ghs Joint Venture LLC enrolled in Medicare?

Yes. Tidelands Ghs Joint Venture LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidelands Ghs Joint Venture LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tidelands Ghs Joint Venture 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tidelands Ghs Joint Venture LLC accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Tidelands Ghs Joint Venture 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 Tidelands Ghs Joint Venture LLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.