NPIMap

Individual provider Active NPI

Leeanna Marie Clevenger, M.D.

  • Surgery Physician
  • Charleston, SC
National Provider Identifier
1275995532
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
88570 Issued in SC
Practice address
510 Albemarle Rd
Charleston, SC 29407-7540
Phone
(843) 723-6426
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 88570 SC Primary

Addresses

Primary practice location

510 Albemarle Rd
Charleston, SC 29407-7540

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other practice location 1

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2498

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
I20221031001802 SC Practitioner - General Surgery 1557657111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

510 Albemarle Rd
Charleston, SC 29407-7540
Phone (843) 723-6426

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88570SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Specialty Physicians Surgery CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Surgery Current Accepting new patients
Roper Saint Francis Physicians Network Surgery CurrentSince Oct 10, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 10, 2022 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2085 Henry Tecklenburg Dr
Ste 310
Charleston, SC 29414
Phone (843) 266-5500

510 Albemarle Rd
Charleston, SC 29407
Phone (843) 723-2835

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

4975 Lacross Rd
Ste 110
North Charleston, SC 29406
Phone (843) 723-2835

Interoperability endpoints

  • Direct secure messaging: lclevenger1371251@direct.bsmhealth.org

Organizations & group practices 5

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1275995532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALBEMARLE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077540",
            "telephone_number": "843-723-6426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2498",
            "fax_number": "843-724-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "LEEANNA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "88570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.