WACCAMAW FAMILY MEDICINE – NPI #1962691402
Family Medicine

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.

WACCAMAW FAMILY MEDICINE is a provider located in PAWLEYS ISLAND, SC. NPPES has assigned the NPI number 1962691402 to WACCAMAW FAMILY MEDICINE on October 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WACCAMAW FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is GEORGETOWN PHYSICIAN SERVICES, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Nov 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WACCAMAW FAMILY MEDICINE below.

NPI Profile for
GEORGETOWN PHYSICIAN SERVICES, LLC

NPI Number
1962691402
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGETOWN PHYSICIAN SERVICES, LLC
Doing Business As (dba): WACCAMAW FAMILY MEDICINE
Primary location
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585-7425
Phone: (843) 237-4296 Fax: (843) 237-0495
Mailing address
1075 N FRASER ST
GEORGETOWN, SC 29440-2848
Phone: (843) 527-4442 Fax: (843) 527-0495
Organization Subpart
No
Authorized Official
SUE STARK
CO-ADMINISTRATOR
Phone: (843) 527-4442
Updated
Identifiers

Identifiers for WACCAMAW FAMILY MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP1370
MEDICAIDSCGP4819
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.