SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC
NPI 1033534300
Podiatrist - Foot & Ankle Surgery in Conway, SC

NPI Status: Active since February 24, 2014

Contact Information

2376 CYPRESS CIR
STE 201
CONWAY, SC
ZIP 29526
Phone: (843) 347-3334
Fax: (843) 431-2786

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 42D2227559
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 06-13-2027

About SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC

This page provides the complete NPI Profile along with additional information for South Carolina Podiatric Physicians And Surgeons Group,llc, a provider established in Conway, South Carolina operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1033534300 assigned on February 2014. The practitioner's primary taxonomy code is 213ES0103X with license number 531 (SC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brandon Percival Dpm (President)

NPI
1033534300
Provider Name
SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC
Entity Type
Organization
Location Address
2376 CYPRESS CIR STE 201 CONWAY, SC 29526
Location Phone
(843) 347-3334
Location Fax
(843) 431-2786
Mailing Address
8141 ROURK ST MYRTLE BEACH, SC 29572
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2014
Last Update Date
02-24-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
531
License State
SC

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRANDON PERCIVAL DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(803) 285-1411

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2227559
Facility Type
Pharmacy
Certificate Effective Date
June 14, 2025
Certificate Expiration Date
June 13, 2027
Laboratory Director
EDWARD BARBAROTTO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Carolina Podiatric Physicians And Surgeons Group,llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033534300, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 0 + 3 + 8 + 3 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1033534300.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Specialist
2376 CYPRESS CIR, SUITE 102
CONWAY, SC 29526
Specialist
2376 CYPRESS CIR, SUITE 103
CONWAY, SC 29526
Clinic/Center (Multi-Specialty)
2376 CYPRESS CIR, SUITE 200
CONWAY, SC 29526
Internal Medicine (Obesity Medicine)
2376 CYPRESS CIR, SUITE 103
CONWAY, SC 29526
Internal Medicine (Clinical Cardiac Electrophysiology)
2376 CYPRESS CIR, SUITE 102
CONWAY, SC 29526
Obstetrics & Gynecology
2376 CYPRESS CIR, SUITE 203
CONWAY, SC 29526
Physical Therapist
2376 CYPRESS CIR
CONWAY, SC 29526
Physical Medicine & Rehabilitation (Pain Medicine)
2376 CYPRESS CIR, SUITE 300
CONWAY, SC 29526
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2376 CYPRESS CIR, SUITE 300
CONWAY, SC 29526
Physician Assistant (Surgical)
2376 CYPRESS CIR, SUITE 300
CONWAY, SC 29526
Nurse Practitioner (Family)
2376 CYPRESS CIR, SUITE 300
CONWAY, SC 29526
Orthopaedic Surgery (Sports Medicine)
2376 CYPRESS CIR, SUITE 300
CONWAY, SC 29526
Nurse Practitioner (Acute Care)
2376 CYPRESS CIR, STE 203
CONWAY, SC 29526
Surgery
2376 CYPRESS CIR
CONWAY, SC 29526
Internal Medicine (Cardiovascular Disease)
2376 CYPRESS CIR, STE 102
CONWAY, SC 29526
Internal Medicine (Critical Care Medicine)
2376 CYPRESS CIR, STE 100
CONWAY, SC 29526
Internal Medicine (Critical Care Medicine)
2376 CYPRESS CIR, SUITE 100
CONWAY, SC 29526
Advanced Practice Midwife
2376 CYPRESS CIR, STE 200
CONWAY, SC 29526
Physician Assistant (Surgical)
2376 CYPRESS CIR, STE 300
CONWAY, SC 29526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033534300, enumerated as an "organization" on February 24, 2014.

The provider is located at 2376 CYPRESS CIR STE 201 CONWAY, SC 29526 and the phone number is (843) 347-3334.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.