GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1881410587

NPI Information

  • NPI: 1881410587
  • Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: TIDELANDS HEALTH GROUP
  • Address: 606 BLACK RIVER RD STE 300
    GEORGETOWN, SC
    ZIP 29440
  • Phone: (843) 652-8290

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NPI Details

GEORGETOWN PHYSICIAN ASSOCIATES LLC is a family medicine in Georgetown, SC. The provider is 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. GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI is 1881410587. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidelands Health Group.

The provider's business location address is:

606 BLACK RIVER RD STE 300
GEORGETOWN, SC
ZIP 29440-304
Phone: (843) 652-8290
Fax: (843) 546-8216

The provider's authorized official is Erin Shaffer Beadle .
The authorized official title is Chief Financial Officer (cfo)/evp and has the following contact phone number (843) 520-8617.

The enumeration date for this NPI number is 11/26/2024 and was last updated on 1/13/2025.

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
1207L00000XAnesthesiologyNo
2207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineNo
3207Q00000XFamily MedicineYes
4207R00000XInternal MedicineNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8207Y00000XOtolaryngologyNo
9208000000XPediatricsNo
102084N0400XPsychiatry & NeurologyNeurologyNo
11208600000XSurgeryNo
12208800000XUrologyNo

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: 11/21/2025

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