Individual provider Active NPI

Angela Stork, MD

  • Surgery Physician
  • Georgetown, SC
National Provider Identifier
1386932192
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
92925 Issued in SC
Practice address
2405 N Fraser St
Georgetown, SC 29440-7764
Phone
(843) 651-3308
Fax
(843) 651-4629
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R72675 AZ
Surgery Physician 208600000X R9668 IA
Surgery Physician 208600000X 92925 SC Primary

Addresses

Primary practice location

2405 N Fraser St
Georgetown, SC 29440-7764

Mailing address

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

Other practice location 1

4181 Highway 17
Murrells Inlet, SC 29576-5019
Phone (843) 651-3308

Other practice location 2

855 Illini Dr Ste 304
Silvis, IL 61282-2904
Phone (309) 281-2120

Other practice location 3

8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Phone (843) 651-3308

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Astork@tidelandshealth.org Direct Georgetown Physician Associates, LLC
Direct Messaging Address Astork@tidelandshealth.org Direct Georgetown Physician Associates, LLC
Direct Messaging Address Astork@tidelandshealth.org Direct Georgetown Physician Associates, LLC
Direct Messaging Address angela.stork@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170819000273 IL Practitioner - General Surgery 7618111030 Reassigns benefits to 2 organizations
I20180710002223 IA Practitioner - General Surgery 7618111030 Reassigns benefits to 5 organizations
I20241125004314 SC Practitioner - General Surgery 7618111030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
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)

8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Phone (843) 651-3308

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy42
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R72675AZMDSurgery Physician
R9668IAMDSurgery Physician
92925SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Public Hospital Current Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Jackson County Public Hospital CurrentSince Mar 10, 2021 Accepting new patients
Mercy Specialty Clinic CurrentSince Mar 1, 2024 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Jackson County Public Hospital CurrentSince Mar 10, 2021 Accepting new patients
Genesis Health System Surgery CurrentSince May 12, 2020 Accepting new patients
Georgetown Physician Associates, LLC Surgery CurrentSince Oct 7, 2024 Accepting new patients
Genesis Health System CurrentSince Aug 7, 2017 Accepting new patients
Georgetown Physician Associates LLC Surgery CurrentSince Oct 7, 2024 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Surgery Current Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

855 Illini Dr
Ste 304
Silvis, IL 61282
Phone (309) 281-2120

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

2405 N Fraser St
Georgetown, SC 29440
Phone (843) 545-7274

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

4181 Highway 17
Murrells Inlt, SC 29576
Phone (843) 651-3308

8203 Nigels Dr
Myrtle Beach, SC 29572
Phone (843) 251-0818

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

Interoperability endpoints

  • Direct secure messaging: angela.stork@direct.genesishealth.com
  • Direct secure messaging: astork@tidelandshealth.org

Organizations & group practices 15

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.

View all 15

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1386932192",
    "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": "2405 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294407764",
            "telephone_number": "843-651-3308",
            "fax_number": "843-651-4629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4181 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765019",
            "country_code": "US",
            "telephone_number": "843-651-3308",
            "fax_number": "843-651-4629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Illini Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612822904",
            "country_code": "US",
            "telephone_number": "309-281-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8203 Nigels Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724177",
            "country_code": "US",
            "telephone_number": "843-651-3308",
            "fax_number": "843-651-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORK",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R72675",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R9668",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "92925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Astork@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2405 N Fraser St",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294407764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Astork@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8203 Nigels Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Astork@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4181 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.stork@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "855 Illini Dr Ste 304",
            "city": "Silvis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612822904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.