Tidewater Health PC
NPI 1649773789 · Primary Care Clinic/Center · Mount Pleasant, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Health PC is a Primary Care Clinic/Center organization in Mount Pleasant, SC (NPI 1649773789).
Provider details
- NPI number
- 1649773789
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Smith, President(843) 800-5686
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tidewater Health
- Doing business as
- Tidewater Health
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2019-05-01
Frequently asked questions
- What is Tidewater Health PC's NPI number?
- Tidewater Health PC's National Provider Identifier (NPI) is 1649773789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Health PC?
- Tidewater Health PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tidewater Health PC located?
- Tidewater Health PC's practice location on file with NPPES is 1435 Stuart Engals Blvd Ste 101, Mount Pleasant, SC 29464-7312.
- What is Tidewater Health PC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Health PC is (843) 800-5686.
- Does Tidewater Health PC accept Medicare?
- Tidewater Health PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidewater Health PC?
- The authorized official listed on Tidewater Health PC's NPPES record is David Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Health PC's NPI active?
- Yes — Tidewater Health PC's NPI (1649773789) is active in the NPPES registry as of the last update on 2019-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.