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TIDELANDS HEALTH GROUP
NPI 1881410587
Family Medicine in Georgetown, SC

Active since November 26, 2024CLIA 42D2180678 · Waiver
606 BLACK RIVER RD STE 300, GEORGETOWN, SC 29440(843) 652-8290(843) 546-8216 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tidelands Health Group NPPES

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

TIDELANDS HEALTH GROUP (NPI 1881410587) is a healthcare organization registered as a family medicine in Georgetown, South Carolina and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 17, 2028, maintains 42 additional practice locations, and lists Erin Shaffer Beadle, Chief Financial Officer (cfo)/evp, as its authorized official.

NPPES Registry Identity

NPI1881410587
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES LLC
Location Address606 BLACK RIVER RD STE 300Georgetown, SC 29440-3304
Mailing AddressPo Box 421718Georgetown, SC 29442-4203
Phone(843) 652-8290
Fax(843) 546-8216
Organization SubpartNo
Authorized OfficialErin Shaffer BeadleChief Financial Officer (cfo)/evp · (843) 520-8617
Enumeration DateNovember 26, 2024
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1881410587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ 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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
606 BLACK RIVER RD STE 300, Georgetown, SC 29440
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Other Names 1

Doing Business AsTidelands Health Group

Secondary Practice Locations 42

Location 18203 Nigels DrMyrtle Beach, SC 29572-4177 · Phone (843) 651-3308 · Fax (843) 651-4629
Location 29653 Ocean HwyPawleys Island, SC 29585-7425 · Phone (843) 235-3131 · Fax (843) 237-9797
Location 39699 Ocean HwyPawleys Island, SC 29585-7425 · Phone (843) 237-4296 · Fax (843) 237-0495
Location 42200 Crow Ln Ste 203Myrtle Beach, SC 29577-1663 · Phone (843) 848-5200 · Fax (843) 848-5001
Location 54367 Riverwood Dr Unit 140Murrells Inlet, SC 29576-4381 · Phone (843) 652-8020 · Fax (843) 652-8021
Location 64367 Riverwood Dr Unit 110Murrells Inlet, SC 29576-4381 · Phone (843) 652-8046 · Fax (843) 357-9771
Location 74367 Riverwood Dr Unit 100Murrells Inlet, SC 29576-4381 · Phone (843) 848-5350 · Fax (843) 520-8821
Location 84320 Holmestown RdMyrtle Beach, SC 29588-7837 · Phone (843) 652-8440 · Fax (843) 652-8441
Location 94301 Dick Pond RdMyrtle Beach, SC 29588-6807 · Phone (843) 652-8440 · Fax (843) 652-8441
Location 104181 Highway 17Murrells Inlet, SC 29576-5019 · Phone (843) 651-3308 · Fax (843) 651-4629
Location 11701 S Morgan AveAndrews, SC 29510-2959 · Phone (843) 264-5253 · Fax (843) 264-5970
Location 1264 Business Center DrPawleys Island, SC 29585-7963 · Phone (843) 314-1314 · Fax (843) 314-1308
Location 13606 Black River Rd Ste 301Georgetown, SC 29440-3304 · Phone (843) 652-8475 · Fax (843) 652-8476
Location 14606 Black River Rd Ste 100Georgetown, SC 29440-3304 · Phone (843) 527-1800 · Fax (843) 527-6528
Location 15606 Black River RdGeorgetown, SC 29440-3304 · Phone (843) 520-8020 · Fax (843) 652-8021
Location 161011 N Fraser StGeorgetown, SC 29440-2848 · Phone (843) 527-3428 · Fax (843) 436-0223
Location 171014 Huger DrGeorgetown, SC 29440-3322 · Phone (843) 235-3131 · Fax (843) 237-9797
Location 181075 N Fraser StGeorgetown, SC 29440-2848 · Phone (843) 527-4442 · Fax (843) 527-4027
Location 1911916 Highway 707 Ste DMurrells Inlet, SC 29576-9610 · Phone (843) 652-8450 · Fax (843) 652-8451
Location 201220 21st Ave NMyrtle Beach, SC 29577-7401 · Phone (843) 652-8300 · Fax (843) 652-8301
Location 212200 Crow LnMyrtle Beach, SC 29577-1663 · Phone (843) 652-8390 · Fax (843) 652-8399
Location 222200 Crow Ln Ste 201Myrtle Beach, SC 29577-1663 · Phone (843) 848-5001 · Fax (843) 848-5225
Location 232200 Crow Ln Ste 202Myrtle Beach, SC 29577-1663 · Phone (843) 545-5927 · Fax (843) 520-4780
Location 24456 N Main StHemingway, SC 29554-9190 · Phone (843) 558-9319 · Fax (843) 558-9818
Location 252200 Crow Ln Ste 301Myrtle Beach, SC 29577-1663 · Phone (843) 848-5350 · Fax (843) 848-5355
Location 262200 Crow Ln Ste 302Myrtle Beach, SC 29577-1663 · Phone (843) 848-5320 · Fax (843) 652-8299
Location 272200 Crow Ln Ste 303AMyrtle Beach, SC 29577-1663 · Phone (843) 848-5310 · Fax (843) 237-9797
Location 282200 Crow Ln Ste 303BMyrtle Beach, SC 29577-1663 · Phone (843) 520-8780 · Fax (843) 652-8399
Location 292200 Crow Ln Ste 303CMyrtle Beach, SC 29577-1663 · Phone (843) 652-8475 · Fax (843) 652-8476
Location 302347 S Highway 17Murrells Inlet, SC 29576-7611 · Phone (843) 357-2443 · Fax (843) 357-2132
Location 312405 N Fraser StGeorgetown, SC 29440-7764 · Phone (843) 651-3308 · Fax (843) 651-4629
Location 323515 Caduceus Dr Ste BMyrtle Beach, SC 29588-2922 · Phone (843) 651-5689 · Fax (843) 294-0062
Location 333515 Caduceus Dr Ste DMyrtle Beach, SC 29588-2922 · Phone (843) 651-5689 · Fax (843) 294-0062
Location 344017 Highway 17 Ste 100Murrells Inlet, SC 29576-5032 · Phone (843) 651-6525 · Fax (843) 357-0768
Location 354040 Highway 17 Unit 101 & 105Murrells Inlet, SC 29576 · Phone (843) 652-8160 · Fax (843) 527-6528
Location 364040 Highway 17 Unit 104Murrells Inlet, SC 29576-5098 · Phone (843) 652-8390 · Fax (843) 652-8399
Location 374040 Highway 17 Unit 105Murrells Inlet, SC 29576-5098 · Phone (843) 652-8390 · Fax (843) 652-8399
Location 384040 Highway 17 Unit 202Murrells Inlet, SC 29576-5098 · Phone (843) 235-3131 · Fax (843) 237-9797
Location 394040 Highway 17 Unit 205Murrells Inlet, SC 29576-5098 · Phone (843) 652-8120 · Fax (843) 848-5355
Location 404040 Highway 17 Unit 206Murrells Inlet, SC 29576-5098 · Phone (843) 652-8260 · Fax (843) 652-8269
Location 414040 Highway 17 Unit 301Murrells Inlet, SC 29576-5098 · Phone (843) 652-8205 · Fax (843) 652-8215
Location 424040 Highway 17 Unit 302Murrells Inlet, SC 29576-5098 · Phone (843) 652-8290 · Fax (843) 652-8299

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 Group 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 Group, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 70 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
Sarah Carver, APRN
Nurse Practitioner
NPI 1356913271
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 652-3248
✔ PECOS✔ Accepts MedicareSame address
Olga Chrisman, D.O.
Pain Management
NPI 1881120764
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts MedicareSame address
Robert Elvington, MD
Orthopedic Surgery
NPI 1679587232
606 BLACK RIVER RD STE 100
Georgetown, SC 29440
(843) 527-1800
✔ PECOS✔ Accepts MedicareSame address
Daniel Flaherty, MD
Obstetrics/Gynecology
NPI 1386602449
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOSSame address
James Givens, MD
General Surgery
NPI 1750398525
606 BLACK RIVER RD STE 301
Georgetown, SC 29440
(843) 652-8390
✔ PECOSSame address
Sonya Harden, C.N.M.
Certified Nurse Midwife (CNM)
NPI 1902104995
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOSSame address
Victoria Kiningham, CNM
Certified Nurse Midwife (CNM)
NPI 1164018057
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS✔ Accepts MedicareSame address
Eugene Mayeaux, M.D.
Emergency Medicine
NPI 1780685966
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ PECOS✔ Accepts MedicareSame address
Deborah Mckee, C.N.M.
Certified Nurse Midwife (CNM)
NPI 1992768907
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 546-3132
✔ PECOS✔ Accepts MedicareSame address
John Nicholson, M.D.
Physical Medicine and Rehabilitation
NPI 1801823745
606 BLACK RIVER RD STE 101
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts MedicareSame address
Merri Paden, M.D.
Obstetrics/Gynecology
NPI 1538455829
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS✔ Accepts MedicareSame address
Lamberto Paragas, M.D.
Emergency Medicine
NPI 1194727057
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-7000
✔ PECOS✔ Accepts MedicareSame address
Melissa Patterson, APRN
Nurse Practitioner
NPI 1235671140
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 527-3428
✔ PECOS✔ Accepts MedicareSame address
Annacecilia Peacher Holderied, M.D.
Obstetrics/Gynecology
NPI 1891053195
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS✔ Accepts MedicareSame address
Amy Reed, MD
Vascular Surgery
NPI 1285602805
606 BLACK RIVER RD STE 301
Georgetown, SC 29440
(843) 652-8120
✔ PECOS✔ Accepts MedicareSame address
Andrea Richmond-Mart, M.D.
Obstetrics/Gynecology
NPI 1437508579
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS✔ Accepts MedicareSame address
Monica Selander-Han, D.O.
Obstetrics/Gynecology
NPI 1770997017
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS✔ Accepts MedicareSame address
William Shaver, M.D.
Gastroenterology
NPI 1598721938
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 652-8290
✔ PECOSSame address
Elizabeth St. Laurent, DO
Obstetrics/Gynecology
NPI 1902488158
606 BLACK RIVER RD STE 300
Georgetown, SC 29440
(843) 527-4343
✔ PECOS✔ Accepts MedicareSame address
Dayna Wilder, APRN
Nurse Practitioner
NPI 1558831925
606 BLACK RIVER RD
Georgetown, SC 29440
(843) 545-5927
✔ PECOS✔ Accepts MedicareSame address
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 42D2180678

Georgetown Physician Associates, LLC Dba Tidelands Health Family Medicine Pawleys Island · Pawleys Island, SC
Active · expires Mar 17, 2028
CLIA Number42D2180678
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorKenneth A. Mattox
Laboratory Phone(843) 237-4296
Laboratory LocationGeorgetown Physician Associates, LLC Dba Tidelands Health Family Medicine Pawleys Island9699 Ocean Hwy, Pawleys Island, SC 29585
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 1881410587. It was assigned to this organization in the NPPES registry on November 26, 2024. The provider is doing business as Tidelands Health Group.

Where is Georgetown Physician Associates LLC located?

Georgetown Physician Associates LLC is located at 606 Black River Rd Ste 300, Georgetown, SC 29440. The listed phone number is (843) 652-8290.

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, 20 practice at this address and 70 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 42D2180678) is associated with this NPI, valid through March 17, 2028. 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 January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.