Individual provider Active NPI

Ross Anthony Leclair, PA-C

  • Physician Assistant
  • Seneca, SC
National Provider Identifier
1679224752
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4255 Issued in SC
Practice address
1615 Sandifer Blvd
Seneca, SC 29678-0905
Phone
(864) 920-7910
Fax
(864) 920-7910
NPI assigned
Jan 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X SC
Physician Assistant 363A00000X 4255 SC Primary

Addresses

Primary practice location

1615 Sandifer Blvd
Seneca, SC 29678-0905

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611

Other practice location 1

22580 Highway 76 E Ste 300
Laurens, SC 29360-8460
Phone (864) 939-1070

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421000164 SC Practitioner - Physician Assistant 3870980857 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PC 158 clinicians

Practice addresses (Care Compare)

115 State Park Rd
Greenville, SC 29609-2914
Phone (864) 438-3500

122 S Main St
Mauldin, SC 29662-2554
Phone (864) 284-4420

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

1615 Sandifer Blvd
Seneca, SC 29678-0905
Phone (864) 920-7910

3322 N Main St
Anderson, SC 29621-4108
Phone (864) 715-3309

6043 Calhoun Memorial Hwy
Easley, SC 29640-3811
Phone (803) 794-6780

718 Fairview Rd
Simpsonville, SC 29680-7117
Phone (864) 794-6555

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Jan 31, 2022 Accepting new patients
Self Medical Group CurrentSince Jan 31, 2022 Accepting new patients
Vitalen Inpatient Care, PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

22580 Highway 76 E
Ste 300
Laurens, SC 29360
Phone (864) 725-4183

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: rleclair821149@direct.ghs.myhfn.org
  • Direct secure messaging: rleclair537345@selfregional.direct-ci.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1679224752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SANDIFER BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780905",
            "telephone_number": "864-920-7910",
            "fax_number": "864-920-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22580 Highway 76 E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293608460",
            "country_code": "US",
            "telephone_number": "864-939-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "ROSS",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.