Active NPI
Angela Stork, MD
- Surgery Physician
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 92925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Phone (843) 651-3308
Hospital & facility affiliations
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 42 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72675 | AZ | MD | Surgery Physician |
| R9668 | IA | MD | Surgery Physician |
| 92925 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Jackson County Public Hospital | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Jackson County Public Hospital | Current | Accepting new patients | |
| Genesis Health System | Surgery | Current | Accepting new patients |
| Georgetown Physician Associates, LLC | Surgery | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Surgery | Current | 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
- angela.stork@direct.genesishealth.com
- 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.
-
- Medicare Defined Swing Bed Hospital Unit
- Maquoketa, IA
- NPI 1326002643
IA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maquoketa, IA
- NPI 1689705949
IA
-
- Anatomic Pathology & Clinical Pathology Physician
- Davenport, IA
- NPI 1295196798
-
- Skilled Nursing Facility
- Maquoketa, IA
- NPI 1164486551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.