Individual provider Active NPI

Mary Katherine Holland, MSPAS, PA-C

  • Physician Assistant
  • Murrells Inlet, SC
National Provider Identifier
1245906452
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4025 Issued in SC
Practice address
4040 Highway 17 Unit 205
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8120
Fax
(843) 848-5355
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4025 SC Primary

Addresses

Primary practice location

4040 Highway 17 Unit 205
Murrells Inlet, SC 29576-5098

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

606 Black River Rd Ste 301
Georgetown, SC 29440-3304
Phone (843) 652-8120

Other practice location 2

1014 Huger Dr
Georgetown, SC 29440-3322
Phone (843) 652-8390

Other practice location 3

4367 Riverwood Dr Unit 130
Murrells Inlet, SC 29576-4381
Phone (843) 652-8120

Other practice location 4

167 Watersedge Dr
Pawleys Island, SC 29585-6484
Phone (843) 833-9713

Other practice location 5

2200 Crow Ln
Myrtle Beach, SC 29577-1663
Phone (843) 652-8390

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address mmueller447837@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address mmueller447837@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address mmueller447837@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address mmueller447837@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address mmueller447837@direct.musc.edu Direct Georgetown Physician Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308001131 SC Practitioner - Physician Assistant 8820482854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

Practice addresses (Care Compare)

1014 Huger Dr
Georgetown, SC 29440-3322
Phone (843) 848-5350

2200 Crow LN
Myrtle Beach, SC 29577-1663

2347 S Hwy 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443

4040 Hwy 17
Murrells Inlet, SC 29576-5098

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

606 Black River Rd
Georgetown, SC 29440-3304

Hospital & facility affiliations

  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4025SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates LLC CurrentSince Feb 28, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Feb 28, 2022 Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Feb 28, 2022 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

1014 Huger Dr
Georgetown, SC 29440
Phone (843) 652-8390

606 Black River Rd
Ste 301
Georgetown, SC 29440
Phone (843) 527-3428

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 104
Murrells Inlet, SC 29576
Phone (843) 652-8150

4040 Highway 17
Unit 205
Murrells Inlet, SC 29576
Phone (843) 652-8120

4367 Riverwood Dr
Unit 130
Murrells Inlt, SC 29576
Phone (843) 357-4500

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2200 Crow Ln
Myrtle Beach, SC 29577
Phone (843) 652-8390

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1245906452",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 UNIT 205",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8120",
            "fax_number": "843-848-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Black River Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-652-8120",
            "fax_number": "843-848-5335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Huger Dr",
            "address_purpose": "LOCATION",
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            "country_code": "US",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4367 Riverwood Dr Unit 130",
            "address_purpose": "LOCATION",
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            "country_code": "US",
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            "address_type": "DOM"
        },
        {
            "address_1": "167 Watersedge Dr",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295856484",
            "country_code": "US",
            "telephone_number": "843-833-9713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmueller447837@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1014 Huger Dr",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmueller447837@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 301",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmueller447837@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln",
            "city": "Myrtle Beach",
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            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmueller447837@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4367 Riverwood Dr Unit 130",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295764381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmueller447837@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 205",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.