Organization Active NPI

Carolina Podiatry Group, Inc.

  • Podiatrist
  • Lancaster, SC
National Provider Identifier
1427093954
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Brandon Scot Percival, DPM
Title
Owner Podiatrist
Phone
(803) 285-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 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 3

IdentifierTypeStateIssuer
GP9959MedicaidSC
PD5364MedicaidSC
PD5408MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1427093954",
    "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": "2006-06-18",
        "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 PODIATRIST",
        "authorized_official_telephone_number": "803-285-1411",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9959",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5364",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5408",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

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.

Verify at the official NPI Registry.