Tidewater Doctors LLC
NPI 1992474654 · Family Medicine Physician · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Doctors LLC is a Family Medicine Physician organization in Charleston, SC (NPI 1992474654).
Provider details
- NPI number
- 1992474654
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrea Hurley, Practice Administrator(843) 200-7721
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2270 Ashley Crossing Dr Ste 155Charleston, SC 29414-5749Phone: (843) 990-5866Fax: (843) 868-8041
Registry dates
- Enumerated
- 2021-09-07
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Frequently asked questions
- What is Tidewater Doctors LLC's NPI number?
- Tidewater Doctors LLC's National Provider Identifier (NPI) is 1992474654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Doctors LLC?
- Tidewater Doctors LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Doctors LLC located?
- Tidewater Doctors LLC's practice location on file with NPPES is 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414-5702.
- What is Tidewater Doctors LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Doctors LLC is (843) 766-1936.
- Does Tidewater Doctors LLC accept Medicare?
- Tidewater Doctors LLC 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 Doctors LLC?
- The authorized official listed on Tidewater Doctors LLC's NPPES record is Andrea Hurley, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Doctors LLC's NPI active?
- Yes — Tidewater Doctors LLC's NPI (1992474654) is active in the NPPES registry as of the last update on 2021-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.