Georgetown Physician Associates, LLC
NPI 1053967943ActiveOrganization· Pediatrics· Myrtle Beach, SC
Pediatrics in Myrtle Beach, South Carolina, registered in NPPES in August 2019. The authorized official on file is Elizabeth Sutherland Ward, Evp & Cfo.
Overview
| NPI | 1053967943 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2019 |
| Last updated in NPPES | May 1, 2020 |
| Certified by provider | May 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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