SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC


Address: 11 Mills Ave, Greenville, SC 29605-4015
Phone: 8642323668

SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1104241223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104241223
Entity Type Organization
Organization Name SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Other Organization Name PIEDMONT PODIATRY ASSOC.
Practice Address 11 Mills Ave
Greenville
SC 29605-4015
Mailing Address 8141 Rourk Street
Myrtle Beach
SC 29572
Practice Telephone 8642323668
Practice Fax Number 8642710526
Mailing Telephone 8032851411
Enumeration Date 2014-02-26
Last Update Date 2014-06-24
Authorized Official Name DR. BRANDON PERCIVAL (PRESIDENT)
Authorized Official Telephone 8032851411
Authorized Official Credential D.P.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
SC Podiatric Medicine & Surgery Service Providers

Other Provider/Organization Names

Other Name Type Code
Piedmont Podiatry Assoc. Doing Business As Name - Organization

Other Provider IDs and Locations

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
1063837870 South Carolina Podiatric Physicians and Surgeons Group, LLC Podiatrist 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 2014-03-03
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

Office Location

Street Address 11 MILLS AVE
City GREENVILLE
State SC
Zip Code 29605-4015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700830403 Subodh Kumar Choudhary Podiatrist 11 Mills Ave, Greenville, SC 29605-4015 2006-05-19
1962874669 Instride Foot and Ankle Specialists, Pllc Podiatrist 11 Mills Ave, Greenville, SC 29605-4015 2015-10-21
1487811337 Sarah Mccurdy Fitzgerald Podiatrist 11 Mills Ave, Greenville, SC 29605-4015 2008-05-19
1083880835 Smitha Sara Joseph Podiatrist 11 Mills Ave, Greenville, SC 29605-4015 2008-05-01
1114943164 Piedmont Podiatry Associates P A Podiatrist 11 Mills Ave, Greenville, SC 29605-4015 2006-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740575653 Harpreet S Minhas Podiatrist 420 Hopkinsville St, Greenville, KY 42345-1102 2011-06-20
1386823466 Julie Ann Abboud Podiatrist N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 2007-10-25
1730202870 North Texas Family Foot Care Center Pa Podiatrist 3900 Joe Ramsey Blvd Bldg 5, Greenville, TX 75401-7727 2007-04-06
1053404798 Eastern Podiatry Pa Podiatrist 2100 Hemby Lane, Greenville, NC 27834-3996 2006-10-02
1063401164 William David Respess Podiatrist 1020 Red Banks Rd, Greenville, NC 27858-5466 2005-10-20
1790773406 Kenneth Y Rosenthal Podiatrist 2140 W Arlington Blvd Ste D, Greenville, NC 27834-5709 2005-10-07
1437144896 Greenville Foot & Ankle Center Pllc Podiatrist 2409 S Charles Blvd, Greenville, NC 27858-5925 2005-09-13
1275525099 Whitney R. Holsopple Podiatrist 828 Central Ave, Greenville, OH 45331-1206 2005-08-18
1447877717 Eric Eugene Duffin Podiatrist 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2020-07-02
1003468398 Christine Joshua Podiatrist 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2019-07-16
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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