Individual provider Active NPI

Audrey Klenke, MD

  • Plastic Surgery Physician
  • Bluffton, SC
National Provider Identifier
1386833770
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35563 Issued in SC
Practice address
7 Mallett Way
Bluffton, SC 29910-6064
Phone
(843) 815-6699
Fax
(843) 815-6695
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 35563 SC
Plastic Surgery Physician 208200000X 57013009 OH
Plastic Surgery Physician 208200000X 35563 SC Primary

Addresses

Primary practice location

7 Mallett Way
Bluffton, SC 29910-6064

Mailing address

7 Mallett Way
Bluffton, SC 29910-6064
Phone (843) 815-6699

Other identifiers 1

IdentifierTypeStateIssuer
355635MedicaidSC

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
I20130920000016 SC Practitioner - Plastic and Reconstructive Surgery 9032358866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Cincinnati College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Plastic Surgery Associates LLCGroup PAC ID 7214171198, 5 clinicians

Practice addresses (Care Compare)

7 Mallett Way
Bluffton, SC 29910-6064
Phone (513) 543-7648

Hospital & facility affiliations

  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision306
Removal of tissue58
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35563SCMDDermatology Physician
57013009OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Plastic Surgery Associates LLC Multi-Specialty CurrentSince Aug 16, 2013 Accepting new patients
Pinnacle Plastic Surgery Associates LLC Multi-Specialty CurrentSince Aug 16, 2013 Accepting new patients

Locations

812 Towne Park Dr
Ste 100
Rincon, GA 31326
Phone (843) 815-6699

1096 Ribaut Rd
Beaufort, SC 29902
Phone (843) 521-8080

7 Mallett Way
Bluffton, SC 29910
Phone (513) 543-7648

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

40 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-8804

Interoperability endpoints

  • Direct secure messaging: aklenke@pinnaclemd.emadirect.md

Organizations & group practices 2

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 2

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1386833770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MALLETT WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106064",
            "telephone_number": "843-815-6699",
            "fax_number": "843-815-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MALLETT WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106064",
            "telephone_number": "843-815-6699",
            "fax_number": "843-815-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENKE",
        "first_name": "AUDREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-02-12",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "SC",
            "license": "35563",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "57013009",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "35563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355635",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.