Individual provider Active NPI

Carley Michelle Howard Draddy, M.D.

  • Hospitalist Physician
  • Greenville, SC
National Provider Identifier
1548288780
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
27927 Issued in SC
Practice address
175 Patewood Dr
Greenville, SC 29615-3570
Phone
(864) 797-1403
Fax
(864) 455-3884
NPI assigned
Jul 17, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27927 SC
Hospitalist Physician 208M00000X 27927 SC Primary

Addresses

Primary practice location

175 Patewood Dr
Greenville, SC 29615-3570

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

20 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 220-7270

Other identifiers 1

IdentifierTypeStateIssuer
279273MedicaidSC

Other names 1

  • Carley Michelle Howard Former name

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
I20080618000590 SC Practitioner - HospitalistPractitioner - Pediatric Medicine 8729159793 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27927SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Prisma Health University Medical Group Pediatrics Current Accepting new patients
Prisma Health-Upstate Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

20 Medical Ridge Dr
Greenville, SC 29605
Phone (864) 220-7270

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: chowarddraddy18457@direct.ghs.myhfn.org

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1548288780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PATEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153570",
            "telephone_number": "864-797-1403",
            "fax_number": "864-455-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medical Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054267",
            "country_code": "US",
            "telephone_number": "864-220-7270",
            "fax_number": "864-220-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD DRADDY",
        "first_name": "CARLEY",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "27927",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "27927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279273",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEY",
            "last_name": "HOWARD",
            "middle_name": "MICHELLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.