SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1063837870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063837870 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
912 Inlet Square Dr Murrells Inlet SC 29576-7812 |
| Mailing Address |
8141 Rourk St Myrtle Beach SC 29572-4128 |
| Practice Telephone | 8433473334 |
| Practice Fax Number | 8434312786 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | BRANDON PERCIVAL (PRESIDENT) |
| Authorized Official Telephone | 8032851411 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
531 | SC | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| 1578981452 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-28 |
| 1659797157 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1120 Glenns Bay Rd, Suite 103, Surfside Beach, SC 29575-4757 | 2014-03-09 |
| 1477979979 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-09 |
| 1659797140 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 8141 Rourk St, Myrtle Beach, SC 29572-4128 | 2014-03-09 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1669897690 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2014-02-27 |
| 1104241223 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2014-02-26 |
| Street Address |
912 INLET SQUARE DR |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190530 | Palmetto Primary Care Physicians | Family Medicine | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2018-10-23 |
| 1114450657 | Lynn A. Leclerc | Nurse Practitioner | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2017-04-11 |
| 1356708739 | Foster Orthodontics Pa | Dentist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2016-01-15 |
| 1235501743 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2015-10-23 |
| 1861890477 | Catherine Smith Gallier | Nurse Practitioner | 912 Inlet Square Dr, Murrells Inlet, SC 29576 | 2014-12-12 |
| 1053716282 | Roper Saint Francis Physicians Network | Internal Medicine | 912 Inlet Square Dr, Suite A, Murrells Inlet, SC 29576-7812 | 2014-10-30 |
| 1437579083 | Mary Dale Edwards | Registered Nurse | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2014-04-22 |
| 1306197389 | Murrells Inlet Dental Group, LLC | Dentist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2012-10-01 |
| 1871865923 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 912 Inlet Square Dr, Suite B, Murrells Inlet, SC 29576 | 2012-02-06 |
| 1750653325 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 912 Inlet Square Dr, Suite A, Murrells Inlet, SC 29576 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235501743 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2015-10-23 |
| 1780608521 | Christopher T Crosby | Podiatrist | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2006-07-26 |
| 1861461592 | Carolina Orthopaedic Specialists, LLC | Podiatrist | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
| 1598136996 | Gregory Santamaria | Podiatrist | 1112 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3131 | 2015-10-12 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1255756797 | Foot Clinic of South Carolina, LLC | Podiatrist | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2014-02-20 |
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
Please comment or provide details below to improve the information on SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.