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TIDELANDS HEALTH FAMILY MEDICINE
NPI 1679987028
Family Medicine in Myrtle Beach, SC

Active since June 13, 2014CLIA Certified · 2 labs
4301 DICK POND RD, MYRTLE BEACH, SC 29588(843) 652-8100(843) 652-8122 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2019, Jun 16, 2018, May 22, 2018 and 1 more (4 updates tracked since 2018).

About Tidelands Health Family Medicine NPPES

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

TIDELANDS HEALTH FAMILY MEDICINE (NPI 1679987028) is a healthcare organization registered as a family medicine in Myrtle Beach, South Carolina and active in the NPI registry since June 2014. The organization holds 2 active CLIA laboratory certificates and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1679987028
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address4301 DICK POND RDMyrtle Beach, SC 29588
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Phone(843) 652-8100
Fax(843) 652-8122
Organization SubpartNo
Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102
Enumeration DateJune 13, 2014
Last NPPES UpdateMay 1, 20204 updates tracked since enumeration
NPPES CertifiedMay 1, 2020
✔ NPI 1679987028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4301 DICK POND RD, Myrtle Beach, SC 29588
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Other Names 1

Doing Business AsTidelands Health Family Medicine

Other Identifiers 1

MedicaidGP6523SC

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D1106290

Tidelands Health Family Medicine At Myrtle Beach · Myrtle Beach, SC
Active · expires Oct 8, 2027
CLIA Number42D1106290
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorJacob Brazee
Laboratory Phone(843) 652-8100
Laboratory LocationTidelands Health Family Medicine At Myrtle Beach4301 Dick Pond Rd, Myrtle Beach, SC 29588
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2138622

Tidelands Health Family Medicine At Prince Creek · Murrells Inlet, SC
Active · expires Oct 22, 2027
CLIA Number42D2138622
Laboratory TypeFamily Medicine Practice
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorSteven A. Meixel
Laboratory Phone(843) 652-8100
Laboratory LocationTidelands Health Family Medicine At Prince Creek11916 Highway 707 Suite D, Murrells Inlet, SC 29576
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

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

JACOB HURLAN BRAZEE MD
Internal Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
MINA GUIRGUIS MD
Family Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
DR. ADAM CHRISTIAN MD
Family Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
WACCAMAW COMMUNITY CARE, LLC
Family Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
DR. CHRISTINE LAURA GAMBLE M.D.
Family Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
MRS. SHELLEY M GILBERT RPA-C
Physician Assistant (Medical)
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
CHRISTIAN CHIDUBEM NDEKWE
Family Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8100
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Family Medicine
4301 DICK POND RD
MYRTLE BEACH, SC 29588
Horry County (843) 652-8108

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 1679987028. It was assigned to this organization in the NPPES registry on June 13, 2014. The provider is doing business as Tidelands Health Family Medicine.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 4301 Dick Pond Rd, Myrtle Beach, SC 29588. The listed phone number is (843) 652-8100.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Georgetown Physician Associates, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 May 1, 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.