Carolina Podiatry Group, Inc.
LBN: Carolina Podiatry Group, Inc.
Carolina Podiatry Group, Inc. is an health care organization with primary practice located at 1190 Highway 9 Byp W , Lancaster SC 29720-1709. The organization recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Carolina Podiatry Group, Inc. can be contacted via phone (803) 285-1411, or through Percival, Brandon Scot via phone (803) 285-1411.
Contact Information
Primary practice address
1190 Highway 9 Byp W
Lancaster SC 29720-1709
Phone: (803) 285-1411
Fax: (803) 283-9920
Website:
Authorized official contact:
Name: Percival, Brandon Scot Doctor of Podiatric Medicine (DPM)
Phone: (803) 285-1411
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | ||
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1194902890 |
|---|---|
| LBN Legal business name | Carolina Podiatry Group, Inc. |
| DBA Doing business as | |
| Authorized official | Percival, Brandon Scot Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2008 |
| Last updated | May 20th, 2026 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194902890 | NPPES |
| South Carolina | MEDICAID | DE1510 |
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