TIDELANDS HEALTH CARDIOLOGY – NPI #1548715279
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

TIDELANDS HEALTH CARDIOLOGY is a provider located in PAWLEYS ISLAND, SC. NPPES has assigned the NPI number 1548715279 to TIDELANDS HEALTH CARDIOLOGY on August 23, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TIDELANDS HEALTH CARDIOLOGY” is a dba name, the actual legal business name for this organization is GEORGETOWN PHYSICIAN ASSOCIATES, LLC. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Apr 14, 2022. 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 CARDIOLOGY below.

NPI Profile for
GEORGETOWN PHYSICIAN ASSOCIATES, LLC

NPI Number
1548715279
Enumeration Date

(about 10 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 CARDIOLOGY
Primary location
9653 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Phone: (843) 235-3131 Fax: (843) 237-9797
4 Other location(s):
11916 Highway 707
Murrells Inlet, SC 29576-9610
Phone: (843) 235-3131
Fax: (843) 237-9797
4040 Highway 17 Unit 202
Murrells Inlet, SC 29576-5098
Phone: (843) 235-3131
Fax: (843) 237-9797
2200 Crow Ln Ste 303A
Myrtle Beach, SC 29577-1663
Phone: (843) 848-5310
Fax: (843) 848-5315
4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone: (843) 235-3131
Fax: (843) 237-9797
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
Apr 14, 2022

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 CARDIOLOGY

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.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDSCGP7637
MEDICAIDSCGP8697
MEDICAIDSCGP7534
MEDICAIDSCGP7636
MEDICAIDSCGP8364
MEDICAIDSCGP8840
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (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.