CAROLINA PODIATRY GROUP INC. NPI 1851424816

NPI Information

  • NPI: 1851424816
  • Provider Name: CAROLINA PODIATRY GROUP, INC.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1 MEDICAL PARK DR
    BLDG 3 SUITE C
    CHESTER, SC
    ZIP 29706
  • Phone: (800) 336-1279

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NPI Details

CAROLINA PODIATRY GROUP, INC. is a podiatrist in Chester, SC. The provider is 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. CAROLINA PODIATRY GROUP, INC. NPI is 1851424816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 MEDICAL PARK DR
BLDG 3 SUITE C
CHESTER, SC
ZIP 29706-769
Phone: (800) 336-1279
Fax: (803) 283-9920

The provider's authorized official is Brandon S Percival .
The authorized official title is Podiatrist and has the following contact phone number (803) 285-1411.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 9/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013103100MEDICARE UPINSOUTH CAROLINA
2PD5364MEDICAIDSOUTH CAROLINA
3U77676MEDICARE UPINSOUTH CAROLINA
4PD5408MEDICAIDSOUTH CAROLINA
5U73255MEDICARE UPINSOUTH CAROLINA
6GP9953MEDICAIDSOUTH CAROLINA
76505MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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