SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
NPI 1659797157
Podiatrist in Surfside Beach, SC

Q: 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.

Active since March 09, 2014

1120 GLENNS BAY RD, SUITE 103, SURFSIDE BEACH, SC 29575(843) 449-8079(843) 497-6147 Get Directions Write a Review

NPPES record last updated: March 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 1659797157) is a healthcare organization registered as a podiatrist in Surfside Beach, South Carolina and active in the NPI registry since March 2014. The organization lists Brandon Percival, President, as its authorized official.

NPPES Registry Identity

NPI1659797157

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameSOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

Location Address1120 GLENNS BAY RD, SUITE 103Surfside Beach, SC 29575-4757

Mailing Address8141 Rourk StMyrtle Beach, SC 29572-4128 · (843) 449-8079 · Fax (843) 497-6147

Phone(843) 449-8079

Fax(843) 497-6147

Organization SubpartNo

Authorized OfficialBrandon PercivalPresident · (803) 285-1411

Enumeration DateMarch 9, 2014

Last NPPES UpdateMarch 16, 2014

✔ NPI 1659797157 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

1120 GLENNS BAY RD, Surfside Beach, SC 29575

Open in Google Maps ↗

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

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #05515 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05515

DMEPOS supplier · Surfside Beach, SCOperated by South Carolina CVS Pharmacy LLC

⋮

Does not accept Medicare assignment

CVS Pharmacy #05515 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20429525

Medicare Participant SinceJanuary 1, 2019

Supplier Location601 Hwy 17 NSurfside Beach, SC 29575

Phone(843) 238-5628

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

PEGGY YVONNE LIVELY ARNP

Nurse Practitioner (Family)

1120 GLENNS BAY RD
SURFSIDE BEACH, SC 29575

Horry County (843) 215-5492

MRS. PRUDENCE MELINDA OLSEN PA-C

Physician Assistant (Medical)

1120 GLENNS BAY RD
SURFSIDE BEACH, SC 29575

Horry County (843) 215-5492

ALFRED JESS TOMLINSON M.D.

Ophthalmology

1120 GLENNS BAY RD, SUITE 106
SURFSIDE BEACH, SC 29575

Horry County (843) 650-1111

COASTAL PODIATRY ASSOCIATES PA

Podiatrist (Foot & Ankle Surgery)

1120 GLENNS BAY RD, SUITE 103
SURFSIDE BEACH, SC 29575

Horry County (843) 449-8079

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 1659797157. It was assigned to this organization in the NPPES registry on March 9, 2014.

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

South Carolina Podiatric Physicians And Surgeons Group, LLC is located at 1120 Glenns Bay Rd Suite 103, Surfside Beach, SC 29575. The listed phone number is (843) 449-8079.

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.

Does South Carolina Podiatric Physicians And Surgeons Group, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #05515 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for South Carolina Podiatric Physicians And Surgeons Group, LLC was last updated on March 16, 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.