GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1528482015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528482015 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | TIDELANDS HEALTH BREAST CENTER |
| Practice Address |
4181 Highway 17 Murrells Inlet SC 29576 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8436513308 |
| Mailing Telephone | 8435208883 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | ELIZABETH SUTHERLAND WARD (EVP & CFO) |
| Authorized Official Telephone | 8435277102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6476 | 05 |
| Other Name | Type Code |
|---|---|
| Tidelands Health Breast Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8203 Nigels Dr, Myrtle Beach, SC 295724177 | 8438392834 | 8436514629 |
| 2405 N Fraser St, Georgetown, SC 294407764 | 8436513308 | 8436514629 |
| 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 |
| 1326655333 | Georgetown Physician Associates, LLC | Otolaryngology | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-09-24 |
| 1477163988 | Georgetown Physician Associates, LLC | Internal Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-08-10 |
| Street Address |
4181 HIGHWAY 17 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770764318 | Angela Marie Mislowsky | Surgery | 4181 Highway 17, Murrells Inlet, SC 29576-5019 | 2007-11-26 |
| 1316266208 | Michael Edward Haughton | Internal Medicine | 4181 Highway 17, Murrells Inlet, SC 29576-5019 | 2010-05-18 |
| 1295983096 | Coastal Carolina Breast Center LLC | Surgery | 4181 Highway 17, Murrells Inlet, SC 29576-5019 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1770764318 | Angela Marie Mislowsky | Surgery | 4181 Highway 17, Murrells Inlet, SC 29576-5019 | 2007-11-26 |
| 1245274497 | Matthew J Metz | Surgery | 4040 Hwy 17 Bypass, Suite 202, Murrells Inlet, SC 29576-4381 | 2006-06-16 |
| 1083658025 | Newton Craig Brackett IIi | Surgery | 4181 Hwy 17 Bypass, Coastal Carolina Breast Center LLC, Murrells Inlet, SC 29576 | 2006-06-16 |
| 1194727537 | Sunil V Lalla | Surgery | 4367 Riverwood Dr, Suite 130, Murrells Inlet, SC 29576-4368 | 2005-08-15 |
| 1336143908 | Salim Gerhard Ghorra | Surgery | 4040 Highway 17 Unit 202, Murrells Inlet, SC 29576-5098 | 2005-06-10 |
| 1518371137 | Georgetown Physician Associates, LLC | Surgery | 4040 Highway 17 Unit 202, Murrells Inlet, SC 29576-5098 | 2014-06-12 |
| 1982998100 | Mark Leslie Witkowski | Surgery | 4040 Highway 17, Suite 202, Murrells Inlet, SC 29576-5098 | 2011-06-06 |
| 1295983096 | Coastal Carolina Breast Center LLC | Surgery | 4181 Highway 17, Murrells Inlet, SC 29576-5019 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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| 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.