GEORGETOWN PHYSICIAN ASSOCIATES, LLC


Address: 606 Black River Rd Ste 300, Georgetown, SC 29440-3304
Phone: 8435463132

GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1548501976) 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) 1548501976
Entity Type Organization
Organization Name GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Other Organization Name TIDELANDS HEALTH WOMEN'S CENTER
Practice Address 606 Black River Rd Ste 300
Georgetown
SC 29440-3304
Mailing Address Po Box 421718
Georgetown
SC 29442-4203
Practice Telephone 8435463132
Practice Fax Number 8436528441
Mailing Telephone 8435208883
Mailing Fax Number 8436528422
Enumeration Date 2013-03-11
Last Update Date 2020-06-25
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 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP6200 05
SC GP9003 05
SC GP8147 05
SC GP9079 05

Other Provider/Organization Names

Other Name Type Code
Tidelands Health Women's Center Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
4320 Holmestown Rd, Myrtle Beach, SC 295887837 8435463132 8435462268
1306 N Fraser St, Georgetown, SC 294402800 8435463132 8435462268

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
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
1124673793 Georgetown Physician Associates, LLC Clinic/Center 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 2019-08-09

Office Location

Street Address 606 BLACK RIVER RD STE 300
City GEORGETOWN
State SC
Zip Code 29440-3304

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003288788 Bartou Wilson Pharmacist 513 Rosemont St, Georgetown, SC 29440 2015-10-21
1538557780 Sc Pain and Spine Specialist Pain Medicine 230 S Fraser Street, Georgetown, SC 29440 2014-12-22
1326393745 Rose Carpenzano Social Worker 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 2012-07-23
1942575451 Surgical Specialists of Waccamaw, LLC Surgery 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 2012-03-16
1619296654 Lisa Marie Holmes Durable Medical Equipment & Medical Supplies 1263 N. Frazer St., Georgetown, SC 29440 2010-05-28
1104156892 Georgetown Anesthesia Consultants, PC Anesthesiology 606 Blackriver Road, Georgetown, SC 29440 2010-01-04
1306018999 Heather Denise Sharpe Pharmacist 810 Elizabeth Street, Georgetown, SC 29440 2008-03-24
1083882054 Advanced Chiropractic Center Chiropractor 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 2008-02-13
1295922284 Georgetown Memorial Hospital Clinic/Center 2361 North Frasier Street, Georgetown, SC 29440 2007-10-03
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
Find all providers in zip 29440

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831351899 Latasha A. Rabsatt Obstetrics & Gynecology 1900 Scenic Dr Ste 3326, Georgetown, TX 78626-7876 2008-06-30
1740441302 Georgetown Ob Gyn LLP Obstetrics & Gynecology 602 High Tech Drive, Georgetown, TX 78626 2008-06-17
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
1831219831 William R. Baechtel, Md,pa Obstetrics & Gynecology 109 Lampasas Pass, Georgetown, TX 78628-5120 2007-03-31
1770511511 Southern Ohio Health Services Network Obstetrics & Gynecology 5162 St. Rt. 125, Georgetown, OH 45121 2006-06-29
1245210657 Judith A. Varnau Obstetrics & Gynecology 864 S Main St, Georgetown, OH 45121-8408 2006-01-20
1134107493 Coy A Flowers Obstetrics & Gynecology Uk Healthcare Georgetown, 202 Bevins Ln, Georgetown, KY 40324 2006-01-06
1871574590 John Vaneff Sherman Obstetrics & Gynecology 602 High Tech Dr, Georgetown, TX 78626-8185 2005-11-09
1760487409 Barbara J. Patridge Obstetrics & Gynecology 425 Home St, Georgetown, OH 45121-1407 2005-06-18
1700881653 Ene G George Obstetrics & Gynecology 5162 St Rt, Georgetown, OH 45121 2005-06-16
Find all providers in GEORGETOWN

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City GEORGETOWN
Zip Code 29440

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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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