TIDELANDS HEALTH DIABETES CENTER – NPI #1962953117
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.

Health Care Provider Taxonomy Code for Family Medicine

TIDELANDS HEALTH DIABETES CENTER is a provider located in MURRELLS INLET, SC. NPPES has assigned the NPI number 1962953117 to TIDELANDS HEALTH DIABETES CENTER on October 21, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TIDELANDS HEALTH DIABETES CENTER” is a dba name, the actual legal business name for this organization is GEORGETOWN PHYSICIAN ASSOCIATES, 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 6 years ago on May 01, 2020. 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 TIDELANDS HEALTH DIABETES CENTER below.

NPI Profile for
GEORGETOWN PHYSICIAN ASSOCIATES, LLC

NPI Number
1962953117
Enumeration Date

(more than 9 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 ASSOCIATES, LLC
Doing Business As (dba): TIDELANDS HEALTH DIABETES CENTER
Primary location
11891 PLAZA DR
MURRELLS INLET, SC 29576
Phone: (843) 353-0288 Fax: (843) 357-9770
Mailing address
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone: (843) 520-8883 Fax: (843) 652-8422
Organization Subpart
No
Authorized Official
ELIZABETH WARD
EVP & CFO
Phone: (843) 527-7102
Updated
Certification Date
May 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TIDELANDS HEALTH DIABETES CENTER

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
MEDICAIDSCGP7646
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)		 SC

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
11891 PLAZA DR,
MURRELLS INLET, SC 77025-1669