Active NPI
Carolina Podiatry Group, Inc.
- Durable Medical Equipment & Medical Supplies
- Lancaster, SC
National Provider Identifier
1194902890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CAROLINA PODIATRY GROUP, INC.
- Practice address
- 1190 Highway 9 Byp W
Lancaster, SC 29720-1709 - Phone
- (803) 285-1411
- Fax
- (803) 283-9920
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon Scot Percival, DPM
- Title
- Owner
- Phone
- (803) 285-1411
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1510 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Podiatry Group Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Rock Hill, SC
- NPI 1851221063
-
- Podiatrist
- Indian Land, SC
- NPI 1962332163
-
- Podiatrist
- Charlotte, NC
- NPI 1578493789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1194902890",
"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": {
"organization_name": "CAROLINA PODIATRY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "PERCIVAL",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "SCOT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-285-1411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE1510",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
- Carolina Family Care Inc
- Carolina Family Care, Inc
- Carolina Heart Specialists LLC
- Carolina Human Services LLC
- Carolina Orthopaedic Surgery Associates, PA
- Carolina Podiatry Group, Inc.
- Carolina Podiatry Group, Inc.
- Carolina Pulmonary and Critical Care Physicians LLC
- Carolina Urgent & Family Care
- Carolina Urgent & Family Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.