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NPI · 1649773789 · NPPES-sourced

Tidewater Health PC

ActivePrimary Care Clinic
NPI Number
1649773789
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(843) 800-5686
Primary practice line
Last Updated
Enumerated
Primary practice addressSC · 29464-7312
1435 Stuart Engals Blvd Ste 101Mount Pleasant, SC 29464-7312
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About this NPIWhat this record shows.

NPI 1649773789 is registered to Tidewater Health PC, a healthcare organisation classified as "Primary Care Clinic" and located at 1435 Stuart Engals Blvd Ste 101 in Mount Pleasant, South Carolina. The organisation's authorised official is David Smith. The organisation has been enumerated in the NPI registry since 2018.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tidewater Health PC accepts. To confirm in-network status with your specific health plan, contact Tidewater Health PC directly at (843) 800-5686.

Frequently asked

Yes. NPI 1649773789 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (843) 800-5686.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tidewater Health PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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Same specialtyOther Primary Care Clinic providers in South Carolina.

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