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TIDELANDS HEALTH FAMILY MEDICINE
NPI 1841364007
Clinic/Center - Rural Health in Georgetown, SC

Active since November 20, 2006CLIA 42D0251071 · Microscopy
1075 N FRASER ST, GEORGETOWN, SC 29440(843) 527-4442(843) 527-4027 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2019, Nov 15, 2019, Jun 16, 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 1841364007) is a healthcare organization registered as a rural health in Georgetown, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Elizabeth Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1841364007
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC
Location Address1075 N FRASER STGeorgetown, SC 29440-2848
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422
Phone(843) 527-4442
Fax(843) 527-4027
Organization SubpartNo
Authorized OfficialElizabeth WardEvp & Cfo · (843) 527-7102
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 1, 20204 updates tracked since enumeration
NPPES CertifiedMay 1, 2020
✔ NPI 1841364007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1075 N FRASER ST, Georgetown, SC 29440
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Other Names 1

Doing Business AsTidelands Health Family Medicine

Other Identifiers 1

MedicaidRHC132SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0251071

Tidelands Health Family Medicine At Georgetown · Georgetown, SC
Active · expires Dec 22, 2027
CLIA Number42D0251071
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Luis Thormer Chastain
Laboratory Phone(843) 527-4442
Laboratory LocationTidelands Health Family Medicine At Georgetown1075 N Fraser St, Georgetown, SC 29440
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.

Other Providers at the Same Location NPPES 19

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1075 N FRASER ST, SUITE A
GEORGETOWN, SC 29440
Georgetown County (843) 520-1973
KATIE DZOBA SAYRE PA-C
Physician Assistant (Medical)
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442
GEORGETOWN HEALTH GROUP
Family Medicine
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442
THOMAS E CROSBY MD
Family Medicine
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442
MRS. MICHELE LIVELY APRN
Nurse Practitioner
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442
DR. LUIS THORMER CHASTAIN MD
Family Medicine
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442
PAIGE ALYSE LAUTTENBACH PA-C
Physician Assistant
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442
TAMARA MICHELLE ROBERTSON FNP
Nurse Practitioner (Family)
1075 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 527-4442

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 1841364007. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Tidelands Health Family Medicine.

Where is Georgetown Physician Associates, LLC located?

Georgetown Physician Associates, LLC is located at 1075 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 527-4442.

What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0251071) is associated with this NPI, valid through December 22, 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 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.