NPIMap

Organization Active NPI

Waccamaw Community Hospital

Doing business as Tidelands Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
National Provider Identifier
1972503910
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL-834 Issued in SC
Legal business name
WACCAMAW COMMUNITY HOSPITAL
Doing business as
Tidelands Waccamaw Community Hospital
Practice address
4070 Highway 17 Bypass
Murrells Inlet, SC 29576-5033
Phone
(843) 652-1000
NPI assigned
Jul 29, 2005
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X HTL-834 SC Primary

Addresses

Primary practice location

4070 Highway 17 Bypass
Murrells Inlet, SC 29576-5033

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 652-1000

Other names 1

  • Tidelands Waccamaw Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20020921000005 SC Part A Provider - Hospital 9133036932 Practice locations: Murrells Inlet, SC; Myrtle Beach, SC
O20031126000386 SC Part B Supplier - Clinic/Group Practice 9133036932 Receives reassigned benefits from 274 practitioners
Practice locations: Murrells Inlet, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972503910. Details of each certification follow.

Hospital certification: CCN 420098

Legal name
WACCAMAW COMMUNITY HOSPITAL
Doing business as
TIDELANDS WACCAMAW COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 31, 2002
Last certification
Jul 30, 2021
Beds
124
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 29, 2002 in SC
Enrollment address
4070 Highway 17
Murrells Inlet, SC 29576-5033
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Tidelands Waccamaw Community HospitalCCN 420098 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

4070 Highway 17
Fl 4
Murrells Inlet, SC 29576
Phone (843) 652-1415

4070 Highway 17
Ste 10
Murrells Inlet, SC 29576

4070 Highway 17
Ste 100
Murrells Inlet, SC 29576

4070 Hwy 17 Byp S
Myrtle Beach, SC 29588

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Georgetown Hospital System Organization, Georgetown, SC Corporation, Non-profit, Chain home office Operational/Managerial Control Oct 1, 2020
Medical University Hospital Authority Organization, Charleston, SC Corporation, Management services company, Non-profit Operational/Managerial Control Oct 1, 2025
Bruce Bailey Individual Corporate OfficerEvp&Ceo Mar 29, 2002
W-2 Managing EmployeeEvp&Ceo Mar 29, 2002
Operational/Managerial ControlEvp&Ceo Mar 29, 2002
Francis Ford Individual Corporate DirectorMember of Board of Directors Oct 23, 2008
Operational/Managerial ControlMember of Board of Directors Oct 23, 2008
Matthew Severence Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Gayle Resetar Individual Corporate OfficerEvp&Coo Mar 29, 2002
W-2 Managing EmployeeEvp&Coo Mar 29, 2002
Operational/Managerial ControlEvp&Coo Mar 29, 2002
Saju D Joy Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Daniel Scheffing Individual Corporate DirectorMember Board of Directors Aug 28, 2020
Operational/Managerial ControlMember Board of Directors Oct 1, 2025
Tidelands Health Holdings Organization, Georgetown, SC Corporation, Holding company, Non-profit Operational/Managerial Control Oct 1, 2020
Paul Davis Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Patrick J Cawley Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Erin Beadle Individual Corporate OfficerEvp&Cfo Jan 7, 2025
W-2 Managing EmployeeEvp&Cfo Jan 7, 2025
Operational/Managerial ControlEvp&Cfo Jan 7, 2025
Philip M Dulberger Individual Corporate OfficerEvp & Chief Physician Executive Sep 9, 2013
W-2 Managing EmployeeEvp & Chief Physician Executive Sep 9, 2013
Operational/Managerial ControlEvp & Chief Physician Executive Sep 9, 2013
James Battle Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Eugene S Hong Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Charles Schulze Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Richard M Christian Individual Corporate DirectorMember of Board of Directors Oct 1, 2025
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
Derek Dudley Individual W-2 Managing EmployeeVP Revenue Cycle May 31, 2024
Ashley Chisolm Individual W-2 Managing EmployeeReimbursement Director Oct 1, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 285

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.

View all 285

Affiliated clinicians 766

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 766

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1972503910",
    "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": "843-652-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765033",
            "telephone_number": "843-652-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACCAMAW COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL-834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidelands Waccamaw Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.