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WACCAMAW SURGICAL ASSOCIATES
NPI 1710022660
Specialist in Georgetown, SC

Active since February 20, 2007
401 MARINA DR, GEORGETOWN, SC 29440(843) 546-7272(843) 546-0277 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Waccamaw Surgical Associates NPPES

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

WACCAMAW SURGICAL ASSOCIATES (NPI 1710022660) is a healthcare organization registered as a specialist in Georgetown, South Carolina and active in the NPI registry since February 2007. The organization lists Terry Lentz Fry, Owner, as its authorized official.

NPPES Registry Identity

NPI1710022660
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWACCAMAW SURGICAL ASSOCIATES
Location Address401 MARINA DRGeorgetown, SC 29440-2410
Mailing Address401 Marina DrGeorgetown, SC 29440-2410 · (843) 546-7272 · Fax (843) 546-0277
Phone(843) 546-7272
Fax(843) 546-0277
Organization SubpartNo
Authorized OfficialTerry Lentz FryOwner · (843) 546-7272
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJune 13, 2008
✔ NPI 1710022660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 14277
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
401 MARINA DR, Georgetown, SC 29440
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Other Identifiers 3

Medicaid14277SC
Medicare UPINC880150SC
Medicare ID-Type UnspecifiedC880150281SC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waccamaw Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Waccamaw Surgical Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terry Fry, MD
Otolaryngology
NPI 1104873017
401 MARINA DR
Georgetown, SC 29440
(843) 546-7272
✔ PECOS✔ Accepts MedicareSame address

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 Waccamaw Surgical Associates's NPI number?

The NPI number for Waccamaw Surgical Associates is 1710022660. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Waccamaw Surgical Associates located?

Waccamaw Surgical Associates is located at 401 Marina Dr, Georgetown, SC 29440. The listed phone number is (843) 546-7272.

What is Waccamaw Surgical Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Waccamaw Surgical Associates enrolled in Medicare?

Yes. Waccamaw Surgical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waccamaw Surgical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Waccamaw Surgical Associates. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Waccamaw Surgical Associates was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.