TIDELANDS HEALTH ENT ASSOCIATES – NPI #1326655333
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

TIDELANDS HEALTH ENT ASSOCIATES is an otolaryngologist located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1326655333 to TIDELANDS HEALTH ENT ASSOCIATES on September 24, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TIDELANDS HEALTH ENT ASSOCIATES” 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 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 6 years ago on Oct 13, 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 ENT ASSOCIATES below.

NPI Profile for
GEORGETOWN PHYSICIAN ASSOCIATES, LLC

NPI Number
1326655333
Enumeration Date

(more than 5 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 ENT ASSOCIATES
Primary location
2200 CROW LN STE 301
MYRTLE BEACH, SC 29577-1663
Phone: (843) 652-8390 Fax: (843) 652-8399
1 Other location(s):
1014 Huger Dr
Georgetown, SC 29440-3322
Phone: (843) 652-8390
Fax: (843) 652-8399
Mailing address
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone: (843) 652-8226 Fax:
Organization Subpart
No
Authorized Official
ELIZABETH WARD
EVP & CFO
Phone: (843) 527-7102
Updated
Certification Date
Oct 13, 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.

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
207Y00000X
- Otolaryngology (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.