DR. JEFFREY C. CRADDOCK M.D. NPI 1174578538
Psychiatry & Neurology - Psychiatry in Greenville, SC
About DR. JEFFREY C. CRADDOCK M.D.
Jeffrey Craddock is a provider established in Greenville, South Carolina and his medical specialization is Psychiatry & Neurology with a focus in psychiatry . The healthcare provider is registered in the NPI registry with number 1174578538 assigned on May 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 18936 (SC). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1174578538 |
| Provider Name | DR. JEFFREY C. CRADDOCK M.D. |
| Location Address | 701 GROVE RD GREENVILLE, SC 29605 |
| Location Phone | (864) 455-8431 |
| Mailing Address | 255 ENTERPRISE BLVD SUITE 102 GREENVILLE, SC 29615 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 05-24-2006 |
| Last Update Date | 07-09-2007 |
A psychiatrist like Jeffrey Craddock are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.Jeffrey Craddock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2084P0800X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Psychiatry |
| License No. | 18936 |
| License State | SC |
| Taxonomy Description | A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
701 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-8431
Mailing Address
255 ENTERPRISE BLVD
SUITE 102
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-1142
Fax: (864) 454-1144
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| F88390 | MEDICARE UPIN (02) | SC |
| 189361 | MEDICAID (05) | SC |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 7 | 8 | 5 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 7 | 16 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 7 + 1 + 6 + 5 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1174578538 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013997824 | DR. KEVIN JOHN GREGG MD Individual | Emergency Medicine | 701 GROVE RD DEPARTMENT OF EMERGENCY MEDICINE GREENVILLE, SC 29605 (864) 455-7157 |
| 1093777393 | DR. JEFFREY MICHAEL RUGGIERI M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 701 GROVE RD GREENVILLE, SC 29605 (864) 455-7939 |
| 1851354286 | PRASUN H MEHTA MD Individual | Emergency Medicine | 701 GROVE RD GREENVILLE, SC 29605 (864) 455-6372 |
| 1427011980 | DR. MARSHALL WHITSON WALKER M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 701 GROVE RD DEPT. OF NEONATOLOGY, GREENVILLE HOSPITAL SYSTEM GREENVILLE, SC 29605 (864) 455-7939 |
| 1124081534 | JESSE T FELDER III MD Individual | Emergency Medicine | 701 GROVE RD ER ADMINISTRATION GREENVILLE, SC 29605 (864) 455-6372 |
| 1013970433 | DR. FRANK J FERLISI MD Individual | Emergency Medicine | 701 GROVE RD GREENVILLE, SC 29605 (864) 455-7157 |
| 1760445837 | JO ANN SOUSA MD Individual | Emergency Medicine | 701 GROVE RD ER ADMINISTRATION GREENVILLE, SC 29605 (864) 455-6372 |
| 1902869993 | JACK E COLKER MD Individual | Emergency Medicine | 701 GROVE RD ER ADMINISTRATION GREENVILLE, SC 29605 (864) 455-6372 |
| 1669435327 | DR. KEVIN J MEWBORN MD Individual | Emergency Medicine | 701 GROVE RD GREENVILLE, SC 29605 (864) 455-7000 |
| 1225092059 | DR. BRYAN LAWRENCE OHNING M.D., PH.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 701 GROVE RD GREENVILLE HOSPITAL SYSTEM, NEONATOLOGY DEPT. GREENVILLE, SC 29605 (864) 455-7939 |
| 1942264700 | ARIC H BLACK CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD ANESTHESIA DEPT 2ND FLOOR GREENVILLE, SC 29605 (864) 455-7111 |
| 1336199751 | JACK W. BONNER III M.D. Individual | Psychiatry & Neurology (Psychiatry) | 701 GROVE RD GREENVILLE, SC 29605 (864) 455-8431 |
| 1871544510 | MRS. AMY A KOONS CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD GREENVILLE, SC 29605 (864) 455-7000 |
| 1225080302 | DR. CHRISTINA L LARSON M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 701 GROVE RD GHS DEPARTMENT OF NEONATOLOGY GREENVILLE, SC 29605 (864) 455-7939 |
| 1639122088 | PAULA HALMES WILLIAMS CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD 2ND FLOOR ANESTHESIA DEPT GREENVILLE, SC 29605 (864) 455-7111 |
| 1922051713 | FREDDIE S. ROWLAND CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD 2ND FLOOR ANESTHESIA DEPT. GREENVILLE, SC 29605 (864) 455-7111 |
| 1144273921 | DAVID C. BUCKREIS CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD 2ND FLOOR ANESTHESIA DEPT. GREENVILLE, SC 29605 (864) 455-7111 |
| 1639124027 | DONALD JOSEPH SCHONDELMAIER CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD 2ND FLOOR ANESTHESIA DEPT GREENVILLE, SC 29605 (864) 455-7111 |
| 1568418515 | TARA W KEMP CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD 2ND FLOOR ANESTHESIA DEPT GREENVILLE, SC 29605 (864) 455-7111 |
| 1518914563 | LINDA R. LOLLIS CRNA Individual | Nurse Anesthetist, Certified Registered | 701 GROVE RD 2ND FLOOR ANESTHESIA DEPT. GREENVILLE, SC 29605 (864) 455-7111 |
Frequently Asked Questions
What is Dr. Jeffrey Craddock M.D. NPI number?
The NPI number assigned to this healthcare provider is 1174578538, enumerated in the NPI registry as an "individual" on May 24, 2006
Where is the provider located?
The provider is located at 701 Grove Rd Greenville, Sc 29605 and the phone number is (864) 455-8431
What is the provider specialty code?
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
What insurance does Dr. Jeffrey Craddock M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Jeffrey Craddock M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How do I update my NPI information?
This NPI record was last updated on May 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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