NPIMap

Organization Active NPI

Georgetown Memorial Hospital

Doing business as Tidelands Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
National Provider Identifier
1982604021
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL-0007 Issued in SC
Legal business name
GEORGETOWN MEMORIAL HOSPITAL
Doing business as
Tidelands Georgetown Memorial Hospital
Practice address
606 Black River Rd
Georgetown, SC 29440-3304
Phone
(843) 527-7000
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-0007 SC Primary

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 2

IdentifierTypeStateIssuer
343274MedicaidSC
307128MedicaidSC

Other names 1

  • Tidelands Georgetown Memorial 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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982604021. Details of each certification follow.

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
CorporationNon-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

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Tidelands Georgetown Memorial HospitalCCN 420020 · All quality measures
Overall star rating
2 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

4181 Hwy 17
Washington, DC 20576

3515 Caduceus Dr
Ste A
Myrtle Beach, SC 29588
Phone (843) 293-7085

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
Francis Ford Individual Corporate DirectorVice Chair Board of Director Oct 23, 2008
Operational/Managerial ControlMember of Board of Directors Oct 1, 2025
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 DirectorBoard of Directors Feb 17, 2011
Operational/Managerial ControlMember 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 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
Julian H Hinesley Individual Corporate OfficerCeo Jul 1, 2026
W-2 Managing Employee Jul 1, 2026
Operational/Managerial ControlCeo Jul 1, 2026
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 290

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 290

Affiliated clinicians 682

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

View all 682

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": "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": "343274",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307128",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidelands Georgetown Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.