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Georgetown Memorial Hospital

Organization Active NPI General Acute Care Hospital · Georgetown, SC

NPI 1982604021 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1982604021
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
HTL-0007 (SC)
Legal business name
GEORGETOWN MEMORIAL HOSPITAL
Practice address
606 Black River Rd
Georgetown, SC 29440-3304
Phone
(843) 527-7000
NPI assigned
Jul 29, 2005
Organization subpart
No

Authorized official

Name
Erin Beadle
Title
Evp & Cfo
Phone
(843) 520-8617

Owners & managing parties with NPI records 4

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

  • Richard M Christian Jr., MD Orthopaedic Surgery Physician · Greenwood, SC · NPI 1093810723
    CMS ownership CORPORATE DIRECTOR · OPERATIONAL/MANAGERIAL CONTROL
  • Eugene S Hong, MD Sports Medicine (Family Medicine) Physician · Charleston, SC · NPI 1487698270
    CMS ownership CORPORATE DIRECTOR · OPERATIONAL/MANAGERIAL CONTROL
  • Saju Joy, MD Maternal & Fetal Medicine Physician · Charleston, SC · NPI 1356375968
    CMS ownership CORPORATE DIRECTOR · OPERATIONAL/MANAGERIAL CONTROL
  • Philip M Dulberger, M.D. Anesthesiology Physician · Fishers, IN · NPI 1154315463
    CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL · W-2 MANAGING EMPLOYEE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 10

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

Practitioners 290

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 290

Affiliated clinicians 682

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

View all 682

Medicare Care Compare: Hospital

Listed as
Tidelands Georgetown Memorial Hospital CCN 420020
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in SC

Hospital certification: CCN 420020

Legal name
GEORGETOWN MEMORIAL HOSPITAL
Doing business as
TIDELANDS GEORGETOWN MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 7, 2021
Beds
131
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Apr 27, 1946 in SC
Enrollment address
606 Black River Rd
Georgetown, SC 29440-3304
Other Hospital Practice Location
Hospital subgroups
General, Acute care

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
Francis Ford
Individual 		Corporate Director
Vice Chair Board of Director		 Oct 23, 2008
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Matthew Severence
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Gayle Resetar
Individual 		Corporate Officer
Evp&Coo		 Mar 29, 2002
W-2 Managing Employee
Evp&Coo		 Mar 29, 2002
Operational/Managerial Control
Evp&Coo		 Mar 29, 2002
Saju D Joy
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Daniel Scheffing
Individual 		Corporate Director
Board of Directors		 Feb 17, 2011
Operational/Managerial Control
Member of 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 Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Patrick J Cawley
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Erin Beadle
Individual 		Corporate Officer
Evp&Cfo		 Jan 7, 2025
W-2 Managing Employee
Evp&Cfo		 Jan 7, 2025
Operational/Managerial Control
Evp&Cfo		 Jan 7, 2025
Philip M Dulberger
Individual 		Corporate Officer
Evp & Chief Physician Executive		 Sep 9, 2013
W-2 Managing Employee
Evp & Chief Physician Executive		 Sep 9, 2013
Operational/Managerial Control
Evp & Chief Physician Executive		 Sep 9, 2013
James Battle
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Eugene S Hong
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Charles Schulze
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Richard M Christian
Individual 		Corporate Director
Member of Board of Directors		 Oct 1, 2025
Operational/Managerial Control
Member of Board of Directors		 Oct 1, 2025
Derek Dudley
Individual 		W-2 Managing Employee
VP Revenue Cycle		 May 31, 2024
Julian H Hinesley
Individual 		Corporate Officer
Ceo		 Jul 1, 2026
W-2 Managing Employee Jul 1, 2026
Operational/Managerial Control
Ceo		 Jul 1, 2026
Ashley Chisolm
Individual 		W-2 Managing Employee
Reimbursement Director		 Oct 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031114000600 SC Part B Supplier - Clinic/Group Practice 8224942123 Receives reassigned benefits from 287 practitioners
Practice locations: Georgetown, SC; Murrells Inlet, SC; Myrtle Beach, SC
O20060119000064 SC Part a Provider - Hospital 8224942123 1 other NPI on this enrollment
Practice locations: Conway, SC; Pawleys Island, SC; Georgetown, SC; Myrtle Beach, SC; Murrells Inlet, SC; Andrews, SC

National Provider Directory

Locations

4181 Hwy 17
Washington, DC 20576

1220 21st Ave N
Myrtle Beach, SC 29577
Phone (843) 652-8300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X HTL-0007 SC Yes

Addresses

Primary practice location

606 Black River Rd
Georgetown, SC 29440-3304

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7142

Other identifiers

IdentifierTypeStateIssuer
307128MedicaidSC
343274MedicaidSC

Other names

  • Tidelands Georgetown Memorial Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2026.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1982604021",
    "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": "843-527-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-527-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN MEMORIAL 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-0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307128",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343274",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidelands Georgetown Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, SC

All providers in Georgetown, SC · General Acute Care Hospital in South Carolina

Sources for this page

Verify at the official NPI Registry.