SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1104241223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104241223 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Other Organization Name | PIEDMONT PODIATRY ASSOC. |
| Practice Address |
11 Mills Ave Greenville SC 29605-4015 |
| Mailing Address |
8141 Rourk Street Myrtle Beach SC 29572 |
| Practice Telephone | 8642323668 |
| Practice Fax Number | 8642710526 |
| Mailing Telephone | 8032851411 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DR. BRANDON PERCIVAL (PRESIDENT) |
| Authorized Official Telephone | 8032851411 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Piedmont Podiatry Assoc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| 1578981452 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-28 |
| 1659797157 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1120 Glenns Bay Rd, Suite 103, Surfside Beach, SC 29575-4757 | 2014-03-09 |
| 1477979979 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-09 |
| 1659797140 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 8141 Rourk St, Myrtle Beach, SC 29572-4128 | 2014-03-09 |
| 1063837870 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2014-03-03 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1669897690 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2014-02-27 |
| Street Address |
11 MILLS AVE |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700830403 | Subodh Kumar Choudhary | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2006-05-19 |
| 1962874669 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2015-10-21 |
| 1487811337 | Sarah Mccurdy Fitzgerald | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2008-05-19 |
| 1083880835 | Smitha Sara Joseph | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2008-05-01 |
| 1114943164 | Piedmont Podiatry Associates P A | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1386823466 | Julie Ann Abboud | Podiatrist | N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 | 2007-10-25 |
| 1730202870 | North Texas Family Foot Care Center Pa | Podiatrist | 3900 Joe Ramsey Blvd Bldg 5, Greenville, TX 75401-7727 | 2007-04-06 |
| 1053404798 | Eastern Podiatry Pa | Podiatrist | 2100 Hemby Lane, Greenville, NC 27834-3996 | 2006-10-02 |
| 1063401164 | William David Respess | Podiatrist | 1020 Red Banks Rd, Greenville, NC 27858-5466 | 2005-10-20 |
| 1790773406 | Kenneth Y Rosenthal | Podiatrist | 2140 W Arlington Blvd Ste D, Greenville, NC 27834-5709 | 2005-10-07 |
| 1437144896 | Greenville Foot & Ankle Center Pllc | Podiatrist | 2409 S Charles Blvd, Greenville, NC 27858-5925 | 2005-09-13 |
| 1275525099 | Whitney R. Holsopple | Podiatrist | 828 Central Ave, Greenville, OH 45331-1206 | 2005-08-18 |
| 1447877717 | Eric Eugene Duffin | Podiatrist | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2020-07-02 |
| 1003468398 | Christine Joshua | Podiatrist | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2019-07-16 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.