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TIDEWATER DOCTORS LLC
NPI 1932870318
Family Medicine in Charleston, SC

Active since September 24, 2021CLIA 42D1003911 · Microscopy
2270 ASHLEY CROSSING DR STE 150, CHARLESTON, SC 29414(843) 766-1936(843) 766-1206 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidewater Doctors Llc NPPES

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

TIDEWATER DOCTORS LLC (NPI 1932870318) is a healthcare organization registered as a family medicine in Charleston, South Carolina and active in the NPI registry since September 2021. The organization holds a CLIA Microscopy certificate valid through September 12, 2026 and lists Andrea Hurley, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1932870318
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDEWATER DOCTORS LLC
Location Address2270 ASHLEY CROSSING DR STE 150Charleston, SC 29414-5702
Mailing Address2834 Aquaduct StCharleston, SC 29414-7410 · (843) 200-7721
Phone(843) 766-1936
Fax(843) 766-1206
Organization SubpartNo
Authorized OfficialAndrea HurleyPractice Administrator · (843) 200-7721
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1932870318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedInternal MedicineTaxonomy 207R00000X
2270 ASHLEY CROSSING DR STE 150, Charleston, SC 29414
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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 of North Carolina.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) 42D1003911

Tidewater Doctors LLC · Charleston, SC
Active · expires Sep 12, 2026
CLIA Number42D1003911
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDonald P. Hurley
Laboratory Phone(843) 766-1936
Laboratory LocationTidewater Doctors LLC2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414
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 7

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

DR. DONALD P HURLEY D.O.
Family Medicine
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 766-1936
MICHELLE PRICE APRN
Nurse Practitioner (Adult Health)
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 766-1936
LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE
Family Medicine
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 766-1936
DR. AMELIA C FAIRFAX MD
Family Medicine
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 766-1936
FAMILY FIRST MEDICAL CARE
Family Medicine
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 766-1936
DR. KATHRYN HICKS DPT
Physical Therapist
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 818-4886
TIDEWATER DOCTORS LLC
Family Medicine
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414
Charleston County (843) 766-1936

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 Tidewater Doctors LLC's NPI number?

The NPI number for Tidewater Doctors LLC is 1932870318. It was assigned to this organization in the NPPES registry on September 24, 2021.

Where is Tidewater Doctors LLC located?

Tidewater Doctors LLC is located at 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414. The listed phone number is (843) 766-1936.

What is Tidewater Doctors LLC's specialty?

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

Does Tidewater Doctors LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D1003911) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tidewater Doctors LLC accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Tidewater Doctors 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 Tidewater Doctors LLC was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.