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TIDELANDS HEALTH FAMILY MEDICINE
NPI 1720597743
Family Medicine in Murrells Inlet, SC

Active since September 21, 2017CLIA 42D2171099 · Waiver
11916 HIGHWAY 707 STE D, MURRELLS INLET, SC 29576(843) 652-8220(843) 652-8032 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2020, Dec 19, 2019, Nov 15, 2019 and 5 more (8 updates tracked since 2017).

About Tidelands Health Family Medicine NPPES

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

TIDELANDS HEALTH FAMILY MEDICINE (NPI 1720597743) is a healthcare organization registered as a family medicine in Murrells Inlet, South Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through August 25, 2027, maintains a secondary practice location in Myrtle Beach, and lists Elizabeth Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1720597743
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address11916 HIGHWAY 707 STE DMurrells Inlet, SC 29576-9610
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Phone(843) 652-8220
Fax(843) 652-8032
Organization SubpartNo
Authorized OfficialElizabeth WardEvp & Cfo · (843) 527-7102
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJune 15, 20208 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
✔ NPI 1720597743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · PENDING
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.
11916 HIGHWAY 707 STE D, Murrells Inlet, SC 29576
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Other Names 1

Doing Business AsTidelands Health Family Medicine

Secondary Practice Location 1

Location 12200 Crow Ln Ste 301Myrtle Beach, SC 29577-1663 · Phone (843) 848-5300 · Fax (843) 848-5305

Other Identifiers 3

MedicaidGP8121SC
OtherC120SC · Family Medicine
MedicaidGP8841SC

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 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 Family Medicine 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 Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 126 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
William Epperson, MD
Family Practice
NPI 1740277508
11916 HIGHWAY 707 STE D
Murrells Inlet, SC 29576
(843) 652-8450
✔ PECOS✔ Accepts MedicareSame address
Lori Hess, MD
Family Practice
NPI 1750344818
11916 HIGHWAY 707 STE D
Murrells Inlet, SC 29576
(843) 652-8450
✔ 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 Medicare1.9 mi
Christopher Bach, M.D.
Gastroenterology
NPI 1821313057
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare1.9 mi
Scott Callaghan, D.O.
Neurology
NPI 1497747018
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare1.9 mi
Thomas Ellison, MD
Orthopedic Surgery
NPI 1780630574
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare1.9 mi
Carrie Gwyer, FNP
Nurse Practitioner
NPI 1467837369
4040 HIGHWAY 17 SUITE 302
Murrells Inlet, SC 29576
(843) 652-8290
✔ PECOS✔ Accepts Medicare1.9 mi
Jack Johnston, MD
General Surgery
NPI 1033590054
4040 HIGHWAY 17 UNIT 104
Murrells Inlet, SC 29576
(864) 561-1716
✔ PECOS✔ Accepts Medicare1.9 mi
Chrysoula Pappa, M.D.
Rheumatology
NPI 1114177847
4040 HIGHWAY 17 UNIT 301
Murrells Inlet, SC 29576
(843) 652-8205
✔ PECOS✔ Accepts Medicare1.9 mi
Ganesha Perera, MD
Vascular Surgery
NPI 1689746299
4040 HIGHWAY 17 UNIT 306
Murrells Inlet, SC 29576
(843) 792-1414
✔ PECOS✔ Accepts Medicare1.9 mi
Malcolm Eggart, M.D.
Neurosurgery
NPI 1104142223
4040 HIGHWAY 17 STE 306
Murrells Inlet, SC 29576
(843) 652-8115
✔ PECOS✔ Accepts Medicare2.0 mi
Jesse Lewis, M.D.
Hand Surgery
NPI 1770889131
4040 HIGHWAY 17 UNIT 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
✔ PECOS✔ Accepts Medicare2.0 mi
Vinh Doan, MD
Family Practice
NPI 1265927792
4070 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-1293
✔ PECOS✔ Accepts Medicare2.0 mi
Geoffrey Habermacher, M.D., PHD
Urology
NPI 1083882096
4040 HIGHWAY 17 UNIT 205
Murrells Inlet, SC 29576
(843) 652-8475
✔ PECOS✔ Accepts Medicare2.1 mi
Katie Kennedy, DO
Hematology/Oncology
NPI 1104357698
4181 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-3600
✔ PECOS✔ Accepts Medicare2.1 mi
Gretchen Meyer, M.D.
Medical Oncology
NPI 1376598227
4181 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 652-3600
✔ PECOS✔ Accepts Medicare2.1 mi
Beth Charlette, CNM
Certified Nurse Midwife (CNM)
NPI 1124752548
4017 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 651-6525
✔ PECOS✔ Accepts Medicare2.1 mi
George Wilkinson, MD
Emergency Medicine
NPI 1790787406
4367 HIGHWAY 17 BYPASS SUITE 140
Murrells Inlet, SC 29576
(843) 652-8020
✔ PECOS✔ Accepts Medicare2.2 mi
Jessica Morjain, MD
Internal Medicine
NPI 1609296367
2347 S HIGHWAY 17
Garden City, SC 29576
(843) 357-2443
✔ PECOS✔ Accepts Medicare3.1 mi
Jill Aiken, MD
Pediatric Medicine
NPI 1376597666
4320 HOLMESTOWN RD
Myrtle Beach, SC 29588
(843) 652-8440
✔ PECOS3.4 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.

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 42D2171099

Tidelands Health Family Medicine At Market Common · Myrtle Beach, SC
Active · expires Aug 25, 2027
CLIA Number42D2171099
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDr. Roxanne Latimer
Laboratory Phone(843) 848-5300
Laboratory LocationTidelands Health Family Medicine At Market Common2200 Crow Lane Suite 301, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1720597743. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as Tidelands Health Family Medicine.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 11916 Highway 707 Ste D, Murrells Inlet, SC 29576. The listed phone number is (843) 652-8220.

What is Georgetown Physician Associates, LLC's specialty?

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

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, 2 practice at this address and 126 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgetown Physician Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2171099) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 June 15, 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.