Tidelands Health ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TIDELANDS HEALTH ASC LLC

Doing business as

Tidelands Health Surgery Center at The Market Common

Practice address

2200 Crow LN Ste 102
Myrtle Beach, SC 29577-1663

Phone

(843) 848-5120

Fax

(843) 848-5125

NPI assigned

Apr 14, 2020

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin Beadle

Title

Evp/Cfo

Phone

(843) 520-8617

Specialties & licenses 1

Addresses

Other names 1

• Tidelands Health Surgery Center at The Market Common Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Tidelands Health ASC LLC Dba Tidelands Health Surgery Center at the Market CommonCCN 42C0001096

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Tran Bach, M.D.

  • Gastroenterology Physician
  • Murrells Inlet, SC
  • NPI 1821313057
  Medicare reassignment NPD
• Raif Wassef Elsakr, M.D.

  • Gastroenterology Physician
  • Murrells Inlet, SC
  • NPI 1083695704
  Medicare reassignment NPD
• Robert A Pendley, MD

  • Gastroenterology Physician
  • Murrells Inlet, SC
  • NPI 1750370029
  Medicare reassignment NPD
• Philip M Dulberger, M.D.

  • Anesthesiology Physician
  • Fishers, IN
  • NPI 1154315463
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1194344606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000",
            "fax_number": "843-848-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CROW LN STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771663",
            "telephone_number": "843-848-5120",
            "fax_number": "843-848-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDELANDS HEALTH ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BEADLE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "843-520-8617"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidelands Health Surgery Center at The Market Common",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tidelands Health Surgery Center at The Market Common",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jane Thumma, APRN
• Meagan Tiani, LPN
• Tidal Eye Center LLC
• Tidelands and Medquest Joint Venture, LLC (Tidelands Health Imaging)
• Tidelands Health
• Tidelands Health Market Common LLC (Tidelands Health Imaging)
• Brittany Jeanne Tilberry
• Alyce Tilghman
• Janet Loretta Timmerman, M.D.
• Timothy B. O'Neill, DC, PA (O'Neill Chiropractic)

• Ambulatory Surgical Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.