Individual provider Active NPI

Katherine Shaw Hardymon, MD

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1144970674
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95463 Issued in SC
Practice address
2 Bella Grove Dr
Greenville, SC 29607-3459
Phone
(864) 603-5600
NPI assigned
Mar 27, 2022
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95463 SC Primary

Addresses

Primary practice location

2 Bella Grove Dr
Greenville, SC 29607-3459

Mailing address

2 Bella Grove Dr
Greenville, SC 29607-3459
Phone (864) 603-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222001031 SC Practitioner - Family Practice 1658743950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, Greenville, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Affiliate PhysiciansGroup PAC ID 6305241027, 48 clinicians

Practice addresses (Care Compare)

2 Bella Grove Dr
Greenville, SC 29607-3459
Phone (864) 603-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95463SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Musc Affiliate Physicians CurrentSince Jan 1, 2026 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

Interoperability endpoints

  • Direct secure messaging: katherine.hardymon.1@17278.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1144970674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BELLA GROVE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073459",
            "telephone_number": "864-603-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BELLA GROVE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073459",
            "telephone_number": "864-603-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDYMON",
        "first_name": "KATHERINE",
        "middle_name": "SHAW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "95463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2 Bella Grove Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296073459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.