NPIMap

Individual provider Active NPI

Charles Darragh, MD

  • MOHS-Micrographic Surgery Physician
  • Greenville, SC
National Provider Identifier
1245676774
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
51796 Issued in SC
Practice address
5 Stevens St Ste 300
Greenville, SC 29605-4528
Phone
(864) 233-6338
NPI assigned
May 10, 2013
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 51796 SC
MOHS-Micrographic Surgery Physician 207ND0101X 51796 SC Primary

Addresses

Primary practice location

5 Stevens St Ste 300
Greenville, SC 29605-4528

Mailing address

5 Stevens St Ste 300
Greenville, SC 29605-4528
Phone (864) 233-6338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717001438 SC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8820391113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Medical University of South Carolina College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Dermatology PAGroup PAC ID 8022450659, 9 clinicians

Practice addresses (Care Compare)

920 Woodruff Rd
Greenville, SC 29607-4105
Phone (864) 233-6338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision159
Removal of skin lesions722
Removal of skin cancer1106
Removal or shaving of skin growth12
Skin biopsy170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51796SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Dermatology PA Dermatology CurrentSince Apr 2, 2024 Accepting new patients
Carolina Dermatology of Greenville, PA Dermatology Past Accepting new patients

Locations

5 Stevens St
Ste 300
Greenville, SC 29605
Phone (864) 233-6338

920 Woodruff Rd
Greenville, SC 29607
Phone (864) 233-6332

Organizations & group practices 2

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1245676774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STEVENS ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054528",
            "telephone_number": "864-233-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STEVENS ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054528",
            "telephone_number": "864-233-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRAGH",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "51796",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "51796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.