TIDELANDS HEALTH GROUP
NPI 1881410587
Family Medicine in Georgetown, SC

NPI Status: Active since November 26, 2024

Contact Information

606 BLACK RIVER RD STE 300
GEORGETOWN, SC
ZIP 29440
Phone: (843) 652-8290
Fax: (843) 546-8216

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Accepts Insurance
CLIA Number: 42D2180678
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 03-17-2028

About TIDELANDS HEALTH GROUP

This page provides the complete NPI Profile along with additional information for Tidelands Health Group, a primary care provider established in Georgetown, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1881410587 assigned on November 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Tidelands Health Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Tidelands Health Group. The authorized official of this NPI record is Erin Shaffer Beadle (Chief Financial Officer (cfo)/evp)

NPI: 1881410587
Provider Legal Name: GEORGETOWN PHYSICIAN ASSOCIATES LLC
Other Organization Name: TIDELANDS HEALTH GROUP
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 606 BLACK RIVER RD STE 300 GEORGETOWN, SC 29440
Location Phone: (843) 652-8290
Location Fax: (843) 546-8216
Mailing Address: PO BOX 421718 GEORGETOWN, SC 29442
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-26-2024
Last Update Date: 01-13-2025
Code Navigator

A primary care provider (PCP) like Tidelands Health Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

606 Black River Rd Ste 301
Georgetown, SC 29440
(843) 652-8475
64 Business Center Dr
Pawleys Island, SC 29585
(843) 314-1314
701 S Morgan Ave
Andrews, SC 29510
(843) 264-5253
8203 Nigels Dr
Myrtle Beach, SC 29572
(843) 651-3308
9653 Ocean Hwy
Pawleys Island, SC 29585
(843) 235-3131
9699 Ocean Hwy
Pawleys Island, SC 29585
(843) 237-4296
1011 N Fraser St
Georgetown, SC 29440
(843) 527-3428
1014 Huger Dr
Georgetown, SC 29440
(843) 235-3131
1075 N Fraser St
Georgetown, SC 29440
(843) 527-4442
11916 Highway 707 Ste D
Murrells Inlet, SC 29576
(843) 652-8450
1220 21st Ave N
Myrtle Beach, SC 29577
(843) 652-8300
2200 Crow Ln
Myrtle Beach, SC 29577
(843) 652-8390
2200 Crow Ln Ste 201
Myrtle Beach, SC 29577
(843) 848-5001
2200 Crow Ln Ste 202
Myrtle Beach, SC 29577
(843) 545-5927
2200 Crow Ln Ste 203
Myrtle Beach, SC 29577
(843) 848-5200
2200 Crow Ln Ste 301
Myrtle Beach, SC 29577
(843) 848-5350
2200 Crow Ln Ste 302
Myrtle Beach, SC 29577
(843) 848-5320
2200 Crow Ln Ste 303A
Myrtle Beach, SC 29577
(843) 848-5310
2200 Crow Ln Ste 303B
Myrtle Beach, SC 29577
(843) 520-8780
2200 Crow Ln Ste 303C
Myrtle Beach, SC 29577
(843) 652-8475
2347 S Highway 17
Murrells Inlet, SC 29576
(843) 357-2443
2405 N Fraser St
Georgetown, SC 29440
(843) 651-3308
3515 Caduceus Dr Ste B
Myrtle Beach, SC 29588
(843) 651-5689
3515 Caduceus Dr Ste D
Myrtle Beach, SC 29588
(843) 651-5689
4017 Highway 17 Ste 100
Murrells Inlet, SC 29576
(843) 651-6525
4040 Highway 17 Unit 101 & 105
Murrells Inlet, SC 29576
(843) 652-8160
4040 Highway 17 Unit 104
Murrells Inlet, SC 29576
(843) 652-8390
4040 Highway 17 Unit 105
Murrells Inlet, SC 29576
(843) 652-8390
4040 Highway 17 Unit 202
Murrells Inlet, SC 29576
(843) 235-3131
4040 Highway 17 Unit 205
Murrells Inlet, SC 29576
(843) 652-8120
4040 Highway 17 Unit 206
Murrells Inlet, SC 29576
(843) 652-8260
4040 Highway 17 Unit 301
Murrells Inlet, SC 29576
(843) 652-8205
4040 Highway 17 Unit 302
Murrells Inlet, SC 29576
(843) 652-8290
4040 Highway 17 Unit 205
Murrells Inlet, SC 29576
(843) 652-8475
4181 Highway 17
Murrells Inlet, SC 29576
(843) 651-3308
4301 Dick Pond Rd
Myrtle Beach, SC 29588
(843) 652-8440
4320 Holmestown Rd
Myrtle Beach, SC 29588
(843) 652-8440
4367 Riverwood Dr Unit 100
Murrells Inlet, SC 29576
(843) 848-5350
4367 Riverwood Dr Unit 110
Murrells Inlet, SC 29576
(843) 652-8046
4367 Riverwood Dr Unit 140
Murrells Inlet, SC 29576
(843) 652-8020
456 N Main St
Hemingway, SC 29554
(843) 558-9319
606 Black River Rd
Georgetown, SC 29440
(843) 520-8020
606 Black River Rd Ste 100
Georgetown, SC 29440
(843) 527-1800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology
2	207PE0005X	Allopathic & Osteopathic Physicians	Emergency Medicine Undersea and Hyperbaric Medicine
3	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine
4	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine Hematology & Oncology
5	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology
6	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery
7	207Y00000X	Allopathic & Osteopathic Physicians	Otolaryngology
8	208000000X	Allopathic & Osteopathic Physicians	Pediatrics
9	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Neurology
10	208600000X	Allopathic & Osteopathic Physicians	Surgery
11	208800000X	Allopathic & Osteopathic Physicians	Urology

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Absolute Total Care

Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Focused Silver - HMO
Standard Expanded Bronze - HMO
Standard Gold - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter of North Carolina

Clear Silver with $0 Insulin Options - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Gold with Atrium Health - HMO
Complete Gold with Atrium Health + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Bronze with Atrium Health - HMO
Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Bronze with Atrium Health - HMO
Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
Focused Silver with Atrium Health - HMO
Focused Silver with Atrium Health + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze with Atrium Health - HMO

BlueCross BlueShield of South Carolina

Blue Direction Bronze 1 - POS
Blue Direction Silver 1 - POS
Blue Direction Silver 1 + Adult Vision - POS
Blue Direction Silver 2 - POS
Blue Direction Standard Expanded Bronze - POS
Blue Direction Standard Gold - POS
Blue Direction Standard Silver - POS
Blue Pee Dee Bronze 1 - HMO
Blue Pee Dee Bronze 2 - HMO
Blue Pee Dee Gold 1 - HMO
Blue Pee Dee Silver 1 - HMO
Blue Pee Dee Silver 2 - HMO
Blue Pee Dee Silver 2 + Adult Vision - HMO
Blue Pee Dee Standard Expanded Bronze - HMO
Blue Pee Dee Standard Gold - HMO
Blue Pee Dee Standard Silver - HMO
Blue VirtuConnect Bronze 1 - EPO
Blue VirtuConnect Gold 1 - EPO
Blue VirtuConnect Silver 1 - EPO
BlueEssentials Bronze 4 - EPO

First Choice Next

First Choice Next Bronze Essential - HMO
First Choice Next Bronze Premier - HMO
First Choice Next Bronze Signature - HMO
First Choice Next Gold Premier - HMO
First Choice Next Gold Signature - HMO
First Choice Next Silver Essential - HMO
First Choice Next Silver Premier - HMO
First Choice Next Silver Signature - HMO

Molina Healthcare

Molina Gold Core 1640 - HMO
Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Molina Gold Core 1640 Plus with Adult Vision - HMO
Molina Gold Standard - HMO
Molina Gold Value - HMO
Molina Gold Value Plus with Adult Dental and Vision - HMO
Molina Gold Value Plus with Adult Vision - HMO
Molina Silver Core - HMO
Molina Silver Core Plus with Adult Dental and Vision - HMO
Molina Silver Core Plus with Adult Vision - HMO
Molina Silver Saver - HMO
Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ERIN SHAFFER BEADLE
Authorized Official Title: CHIEF FINANCIAL OFFICER (CFO)/EVP
Authorized Official Phone: (843) 520-8617

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 42D2180678
Facility Type: Physician Office
Certificate Effective Date: March 18, 2026
Certificate Expiration Date: March 17, 2028
Laboratory Director: KENNETH A. MATTOX
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Tidelands Health Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881410587, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 8 + 1 + 0 + 5 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1881410587.