Active NPI
Ross Anthony Leclair, PA-C
- Physician Assistant
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4255
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Vitalen Inpatient Care, PC | Current | 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
- rleclair821149@direct.ghs.myhfn.org
- 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.
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
SC
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1992805972
SC
-
- Plastic and Reconstructive Surgery Physician
- Greenwood, SC
- NPI 1033832530
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Hospitalist Physician
- Greenville, SC
- NPI 1619558327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.