Individual provider Active NPI

Julie Welsh Percival, D.P.M.

  • Podiatrist
  • Lancaster, SC
National Provider Identifier
1124091426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
540 Issued in SC
Practice address
1190 Highway 9 Byp W
Lancaster, SC 29720-1709
Phone
(803) 285-1411
Fax
(803) 283-9920
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 540 SC Primary

Addresses

Primary practice location

1190 Highway 9 Byp W
Lancaster, SC 29720-1709

Mailing address

PO Box 325
Lancaster, SC 29721-0325
Phone (803) 285-1411

Other identifiers 1

IdentifierTypeStateIssuer
PD5408MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000590 SC Practitioner - Podiatry 4880653476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Podiatrist CurrentSince Jan 1, 2016 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Podiatrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

9789 Charlotte Hwy
Ste 200
Fort Mill, SC 29707
Phone (800) 336-1279

1190 Highway 9 Byp W
Lancaster, SC 29720
Phone (803) 283-9920

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124091426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297210325",
            "telephone_number": "803-285-1411",
            "fax_number": "803-283-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 HIGHWAY 9 BYP W",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201709",
            "telephone_number": "803-285-1411",
            "fax_number": "803-283-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIVAL",
        "first_name": "JULIE",
        "middle_name": "WELSH",
        "name_prefix": "Mrs.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5408",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.