GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1841364007

NPI Information

NPI: 1841364007
Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: TIDELANDS HEALTH FAMILY MEDICINE
Address: 1075 N FRASER ST
GEORGETOWN, SC
ZIP 29440
Phone: (843) 527-4442

Map and Directions

Get Directions

NPI Details

GEORGETOWN PHYSICIAN ASSOCIATES, LLC is a rural health clinic center in Georgetown, SC. GEORGETOWN PHYSICIAN ASSOCIATES, LLC NPI is 1841364007. The provider is registered as an organization entity type.
The provider Is Doing Business As Tidelands Health Family Medicine.

The provider's business location address is:

1075 N FRASER ST
GEORGETOWN, SC
ZIP 29440-848
Phone: (843) 527-4442
Fax: (843) 527-4027

The provider's authorized official is Elizabeth Ward .
The authorized official title is Evp & Cfo and has the following contact phone number (843) 527-7102.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 5/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RHC132	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI