Active NPI
Jermaine Leclerc
- Anesthesiologist Assistant
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 96
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AA000016 | DC | |
| Anesthesiologist Assistant | 367H00000X | AA121 | FL | |
| Anesthesiologist Assistant | 367H00000X | 96 | SC | Primary |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
Hospital & facility affiliations
- St Mary'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA000016 | DC | MD | Specialist |
| 96 | SC | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBG Team Anesthesia PA | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Jupiter Anesthesia Associates LLC | Current | Accepting new patients | |
| Anesthesia Medicine Services of FL, LLC | Current | Accepting new patients | |
| Jupiter Anesthesia Associates LLC | Current | Accepting new patients | |
| South Florida Anesthesia & Pain Treatment, P.a. | Current | Accepting new patients | |
| Washington Hospital Center Corp | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1528302866
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1700073848
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1861623316
-
- Anesthesiology Physician
- Miami, FL
- NPI 1346947496
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1003581398
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1952333205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1346492428",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LECLERC",
"first_name": "JERMAINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "AA000016",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA121",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "SC",
"license": "96",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.