CAROLINA PODIATRY GROUP, INC. (NPI# 1427093954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427093954 |
| Entity Type | Organization |
| Organization Name | CAROLINA PODIATRY GROUP, INC. |
| Practice Address |
1190 Highway 9 Byp W Lancaster SC 29720-1709 |
| Mailing Address |
Po Box 325 Lancaster SC 29721-0325 |
| Practice Telephone | 8032851411 |
| Practice Fax Number | 8032839920 |
| Mailing Telephone | 8032851411 |
| Mailing Fax Number | 8032839920 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | BRANDON SCOT PERCIVAL (OWNER PODIATRIST) |
| Authorized Official Telephone | 8032851411 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PD5408 | 05 | |
| SC | PD5364 | 05 | |
| SC | GP9959 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427181023 | Carolina Podiatry Group, Inc. | Podiatrist | 102 Hwy 321 Bypass North, Winnsboro, SC 29180 | 2007-03-13 |
| 1528246311 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-02-05 |
| 1194902890 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-01-24 |
| 1851424816 | Carolina Podiatry Group, Inc. | Podiatrist | 1 Medical Park Dr, Bldg 3 Suite C, Chester, SC 29706-9769 | 2007-03-13 |
| 1528191574 | Carolina Podiatry Group, Inc. | Podiatrist | 9789 Charlotte Hwy, Suite 200, Fort Mill, SC 29707-7177 | 2007-03-13 |
| Street Address |
1190 HIGHWAY 9 BYP W |
| City | LANCASTER |
| State | SC |
| Zip Code | 29720-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930817 | Brandon Scot Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1437503422 | Katlin O'hara Jackson | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-04-16 |
| 1114399813 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2015-10-21 |
| 1063834646 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2014-01-15 |
| 1528246311 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-02-05 |
| 1194902890 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-01-24 |
| 1013103100 | William Harris Iv | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2007-09-21 |
| 1124091426 | Julie Welsh Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1831703172 | Faithful Nurses Healthcare | In Home Supportive Care | 108 D Woodland Park Drive, Lancaster, NC 29720 | 2020-09-03 |
| 1114568532 | Lancaster Youth Leadership & Development Program | Voluntary or Charitable | 916 15th Street, Lancaster, SC 29720 | 2019-10-07 |
| 1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1023491651 | Karen Mcgarvey | Nurse Practitioner | 333 Sc-9 Bypass, Lancaster, SC 29720 | 2015-07-01 |
| Find all providers in zip 29720 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790160901 | Lancaster Medical Group, LLC | Podiatrist | 90 Good Dr Ste 101, Lancaster, PA 17603-4360 | 2015-07-29 |
| 1639484991 | Astrid Avis | Podiatrist | 45 E Orange St, Lower Level, Lancaster, PA 17602-5123 | 2010-08-11 |
| 1487832119 | Lancaster Depew Podiatry Grp | Podiatrist | 5429 Broadway St, Lancaster, NY 14086-2123 | 2008-02-05 |
| 1003097569 | Peter C Smith Dpm | Podiatrist | 300 Granite Run Dr, Suite 160, Lancaster, PA 17601-6806 | 2007-11-26 |
| 1134317555 | Mj6 Enterprises | Podiatrist | 996 E Orange St, Lancaster, PA 17602-3214 | 2007-10-10 |
| 1891846218 | Robert Joseph Rudewicz | Podiatrist | 5429 Broadway, Lancaster, NY 14086-2123 | 2007-01-13 |
| 1831260934 | Steven A Jacobs | Podiatrist | 11 E Walnut St, Lancaster, PA 17602-4923 | 2006-11-11 |
| 1679663074 | Lawrence H Rosen | Podiatrist | 24 E Mcgovern Ave, Lancaster, PA 17602-1923 | 2006-10-14 |
| 1245326271 | Andrew J Heller | Podiatrist | 1505 W Ave J, # 203, Lancaster, CA 93534 | 2006-10-05 |
| 1518930817 | Brandon Scot Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| Find all providers in LANCASTER | ||||
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| 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.