Individual provider Active NPI

Ryan Thomas Logan, PA-C

  • Physician Assistant
  • Murrells Inlet, SC
National Provider Identifier
1730819186
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4438 Issued in SC
Practice address
4040 Highway 17 Unit 105
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8390
Fax
(843) 652-8399
NPI assigned
Jun 16, 2022
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4438 SC Primary

Addresses

Primary practice location

4040 Highway 17 Unit 105
Murrells Inlet, SC 29576-5098

Mailing address

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

Other practice location 1

4040 US-17
Suite 301
Murrells Inlet, SC 29576
Phone (843) 652-8390

Other practice location 2

2200 Crow Ln Ste 303B
Myrtle Beach, SC 29577-1663
Phone (843) 652-8390

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rlogan@tidelandshealth.org Direct Georgetown Physician Associates, LLC
Direct Messaging Address rlogan@tidelandshealth.org 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
I20221206001066 SC Practitioner - Physician Assistant 0345619888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 652-8440

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4438SCMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC CurrentSince Aug 22, 2022 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Aug 22, 2022 Accepting new patients
Georgetown Physician Associates, LLC Past Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

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

4040 Highway 17
Unit 105
Murrells Inlet, SC 29576
Phone (843) 652-8160

4040 Highway 17
Unit 301
Murrells Inlet, SC 29576
Phone (843) 652-8205

2200 Crow Ln
Ste 303B
Myrtle Beach, SC 29577
Phone (843) 520-8780

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

Interoperability endpoints

  • Direct secure messaging: rlogan@tidelandshealth.org

Organizations & group practices 5

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

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1730819186",
    "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 105",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 US-17",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "29576",
            "country_code": "US",
            "telephone_number": "843-652-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 303B",
            "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": "LOGAN",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlogan@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 105",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlogan@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 303B",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "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.