Individual provider Active NPI

Mary Denise Hughes, MD

  • Neurology Physician
  • Greenville, SC
National Provider Identifier
1275643561
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
30585 Issued in SC
Practice address
52 Bear Dr
Greenville, SC 29605-4458
Phone
(864) 655-4005
Fax
(864) 655-4004
NPI assigned
Aug 30, 2006
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 042614 GA
Neurology Physician 2084N0400X 30585 SC Primary

Addresses

Primary practice location

52 Bear Dr
Greenville, SC 29605-4458

Mailing address

PO Box 24217
Greenville, SC 29616-4217
Phone (864) 421-4898

Other identifiers 2

IdentifierTypeStateIssuer
G42614MedicaidSC
P00850150OtherSCRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.hughes@176653406502916.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151112002476 SC Practitioner - Neurology 0244394393 Reassigns benefits to 1 organization
I20160112001312 GA Practitioner - Neurology 0244394393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifestyle Neurology LLCGroup PAC ID 6800106469, 4 clinicians

Practice addresses (Care Compare)

52 Bear Dr
Greenville, SC 29605-4458
Phone (864) 655-4005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC CurrentSince Nov 29, 2015 Accepting new patients
Lifestyle Neurology, LLC Neurology CurrentSince Aug 10, 2015 Accepting new patients

Locations

201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

52 Bear Dr
Greenville, SC 29605
Phone (864) 295-2131

420 The Pkwy
Ste N
Greer, SC 29650
Phone (703) 509-3310

Interoperability endpoints

  • Direct secure messaging: mary.hughes@176653406502916.direct.elationemr.com
  • Direct secure messaging: regionalhealthdiagnostics.maryhughes@117073.advancedmd-direct.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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1275643561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24217",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296164217",
            "telephone_number": "864-421-4898",
            "fax_number": "864-655-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BEAR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054458",
            "telephone_number": "864-655-4005",
            "fax_number": "864-655-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MARY",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "042614",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "30585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G42614",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00850150",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.hughes@176653406502916.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "52 Bear Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.