GEORGETOWN PHYSICIAN ASSOCIATES, LLC


Address: 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663
Phone: 8436528390

GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1326655333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326655333
Entity Type Organization
Organization Name GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Other Organization Name TIDELANDS HEALTH ENT ASSOCIATES
Practice Address 2200 Crow Ln Ste 301
Myrtle Beach
SC 29577-1663
Mailing Address Po Box 421718
Georgetown
SC 29442-4203
Practice Telephone 8436528390
Practice Fax Number 8436528399
Mailing Telephone 8436528226
Enumeration Date 2020-09-24
Last Update Date 2020-10-13
Authorized Official Name ELIZABETH SUTHERLAND WARD (EVP & CFO)
Authorized Official Telephone 8435277102
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Tidelands Health ENT Associates Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1014 Huger Dr, Georgetown, SC 294403322 8436528390 8436528399

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053967943 Georgetown Physician Associates, LLC Pediatrics 4320 Holmestown Rd Ste B, Myrtle Beach, SC 29588-7837 2019-08-15
1780118414 Georgetown Physician Associates, LLC Family Medicine 4320 Holmestown Rd Ste A, Myrtle Beach, SC 29588-7837 2017-04-19
1053704627 Georgetown Physician Associates, LLC Anesthesiology 4040 Highway 17 Unit 206, Murrells Inlet, SC 29576-5098 2015-03-06
1598179947 Georgetown Physician Associates, LLC Dermatology 4033 Highway 17, Suite 105, Murrells Inlet, SC 29576-5032 2014-06-13
1548604366 Georgetown Physician Associates, LLC Emergency Medicine 4367 Riverwood Dr Unit 104, Murrells Inlet, SC 29576-4381 2013-04-23
1548501976 Georgetown Physician Associates, LLC Obstetrics & Gynecology 606 Black River Rd Ste 300, Georgetown, SC 29440-3304 2013-03-11
1235475930 Georgetown Physician Associates, LLC Family Medicine 2347 S Highway 17, Murrells Inlet, SC 29576-7611 2012-12-27
1588716815 Georgetown Physician Associates, LLC Clinic/Center 456 N Main St, Hemingway, SC 29554 2007-01-17
1477163988 Georgetown Physician Associates, LLC Internal Medicine 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 2020-08-10
1124673793 Georgetown Physician Associates, LLC Clinic/Center 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 2019-08-09

Office Location

Street Address 2200 CROW LN STE 301
City MYRTLE BEACH
State SC
Zip Code 29577-1663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912980822 Roxanne P Latimer Family Medicine 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 2005-11-23
1477163988 Georgetown Physician Associates, LLC Internal Medicine 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 2020-08-10
1144477449 Mylena Ann Yee Physician Assistant 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 2008-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124536446 Well Care Home Health of The Lowcountry Home Health 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 2018-01-22
1518470913 Guillot Enterprises, LLC Hearing Instrument Specialist 1294 Professional Dr., Suite C, Myrtle, SC 29577 2017-11-08
1598288227 Ryan Shepherd Pharmacist 1705 South Kings Highway, Myrtle Beach, SC 29577 2017-07-25
1184176554 Shannon Long Counselor 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 2016-11-01
1265898191 Coastal Carolina Infectious Disease, LLC Internal Medicine 1110 London St Ste 102, Myrtle Beach, SC 29577 2016-01-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1043600893 Kenneth Edward Smith Counselor 1125 48th Avenue North, Myrtle Beach, SC 29577 2015-02-02
1902203615 Sc Nursing Services LLC Home Infusion 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 2014-11-24
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
1891115739 Julie Hite Pharmacist 540 Seaboard Street, Myrtle Beach, SC 29577 2014-04-18
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497717086 Coastal Carolina Otolaryngology Associates,pa Otolaryngology 1021 Cipriana Dr Ste 220, Myrtle Beach, SC 29572-4621 2006-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992316764 Carolina Pines Ear Nose Throat & Allergy Associates LLC Otolaryngology 2032 Medical Park Dr, Newberry, SC 29108-2248 2020-08-13
1932667276 Brendan Hardy Otolaryngology 135 Rutledge Ave Ste 1130, Charleston, SC 29425 2019-03-06
1538696091 Michael Richard Bobian Otolaryngology 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 2017-05-16
1316497845 Thomas Edward Nix Otolaryngology 28 Collins Ridge Dr, Greenville, SC 29607-3775 2016-10-07
1194150573 Sarfaraz Mubarak Banglawala Otolaryngology Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 2013-09-04
1457614703 Travis Parke Schrank Otolaryngology Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 2012-06-21
1427377076 Sarah Jane Novis Otolaryngology 3980 Highway 9 E Ste 340, Little River, SC 29566-8165 2010-05-21
1215268578 Newton Gaston Quantz Jr. Otolaryngology 401 Ralston Creek Street, Charleston, SC 29492 2010-01-26
1386871499 Shaun A Nguyen Otolaryngology 135 Rutledge St # Msc550, Charleston, SC 29425-8903 2009-06-16
1285825240 Daniel Mcqueen Ervin Otolaryngology 1523 B Heritage Lane, Florence, SC 29505-3197 2007-08-06
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Competitor

Search similar providers

City MYRTLE BEACH
Zip Code 29577

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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