SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC
NPI 1225455835
Podiatrist in Conway, SC

Active since March 20, 2014
8020 MYRTLE TRACE DR, CONWAY, SC 29526(843) 234-9100(843) 234-9103 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Carolina Podiatric Physicians And Surgeons Group,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC (NPI 1225455835) is a healthcare organization registered as a podiatrist in Conway, South Carolina and active in the NPI registry since March 2014. The organization lists Brandon S Percival, President, as its authorized official.

NPPES Registry Identity

NPI1225455835
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC
Location Address8020 MYRTLE TRACE DRConway, SC 29526-8945
Mailing Address8141 Rourk StMyrtle Beach, SC 29572-4128 · (803) 285-1411
Fax(843) 234-9103
Organization SubpartNo
Authorized OfficialBrandon S PercivalPresident · (803) 285-1411
Enumeration DateMarch 20, 2014
NPI 1225455835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
8020 MYRTLE TRACE DR, Conway, SC 29526

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
8020 MYRTLE TRACE DR
CONWAY, SC 29526
Podiatrist (Foot & Ankle Surgery)
8020 MYRTLE TRACE DR
CONWAY, SC 29526
Podiatrist (Foot & Ankle Surgery)
8020 MYRTLE TRACE DR
CONWAY, SC 29526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Podiatric Physicians And Surgeons Group,llc's NPI number?

The NPI number for South Carolina Podiatric Physicians And Surgeons Group,llc is 1225455835. It was assigned to this organization in the NPPES registry on March 20, 2014.

Where is South Carolina Podiatric Physicians And Surgeons Group,llc located?

South Carolina Podiatric Physicians And Surgeons Group,llc is located at 8020 Myrtle Trace Dr, Conway, SC 29526. The listed phone number is (843) 234-9100.

What is South Carolina Podiatric Physicians And Surgeons Group,llc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for South Carolina Podiatric Physicians And Surgeons Group,llc was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.