Georgetown Physician Services LLC
Georgetown Physician Services LLC is a healthcare organization registered as Internal Medicine Physician in Georgetown, SC, holding Type 2 (organization) NPI 1912186206 since 2007. The authorized official on file is Bruce Bailey, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1912186206 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Georgetown Physician Services LLC |
| Parent organization | Georgetown Hospital System |
| Practice address | 606 BLACK RIVER RD, Georgetown, SC, 29440 |
| Phone | 8435277100 |
| Enumeration date | 2007-11-02 |
| Last updated in NPPES | 2007-11-02 |
Authorized official
| Name | Bruce Bailey |
|---|---|
| Title | Ceo |
| Phone | 8435277100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Georgetown Physician Services LLC NPI: 1912186206 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 606 BLACK RIVER RD, Georgetown, SC, 29440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952301731 | Mary Michael | Individual | Certified Registered Nurse Anesthetist | Georgetown, SC |
| 1497755276 | Brenda Tomlin-Aubrey | Individual | Certified Registered Nurse Anesthetist | Georgetown, SC |
| 1932109394 | Cynthia Shields | Individual | Certified Registered Nurse Anesthetist | Georgetown, SC |
| 1700886173 | Peter Ciancione | Individual | Certified Registered Nurse Anesthetist | Georgetown, SC |
| 1538169586 | Carol Rahter | Individual | Emergency Medicine Physician | Georgetown, SC |
| 1982604021 | Georgetown Memorial Hospital | Organization | General Acute Care Hospital | Georgetown, SC |
| 1477554830 | Michael Beasley | Individual | Emergency Medicine Physician | Georgetown, SC |
| 1780685966 | Eugene Mayeaux | Individual | Emergency Medicine Physician | Georgetown, SC |
Verify this record
Cross-check NPI 1912186206 against the authoritative CMS record: view Georgetown Physician Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Georgetown Physician Services LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-02.