NPIMap

Individual provider Active NPI

Jeffrey Cabot Clevenger, MD

  • Interventional Cardiology Physician
  • Columbia, SC
National Provider Identifier
1801876909
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
87591 Issued in SC
Practice address
300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212-1764
Phone
(803) 434-3800
Fax
(803) 744-2759
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200000752 NC
Interventional Cardiology Physician 207RI0011X 200000752 NC
Interventional Cardiology Physician 207RI0011X 87591 SC Primary

Addresses

Primary practice location

300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212-1764

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

1830 Pondfield Rd Ste A2
Newberry, SC 29108-9522
Phone (843) 792-1414

Other practice location 2

186 Kimel Park Dr
Winston-Salem, NC 27103-6946
Phone (336) 277-2000

Other practice location 3

306 Westwood Ave Ste 401
High Point, NC 27262-4342
Phone (336) 716-2255

Other identifiers 5

IdentifierTypeStateIssuer
1266WOtherNCBCBS ID#
40724OtherNCPARTNERS ID#
1285682310OtherNCWSCA GRP NPI #
891266WMedicaidNC
1801876909MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MT, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220907001945 SC Practitioner - Cardiovascular Disease (Cardiology) 6507830544 Reassigns benefits to 3 organizations
I20250728001064 MT Practitioner - Interventional Cardiology 6507830544 Reassigns benefits to 1 organization
I20260319000275 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6507830544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Carolina School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical Group 148 clinicians
SCL Health Medical Group - Billings LLC 291 clinicians

Practice addresses (Care Compare)

111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047

2900 12TH Ave N
Suite 204E
Billings, MT 59101-7502
Phone (406) 237-5001

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049
  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347
  • Cody Regional Health Hospital, Cody, WY, CCN 531312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87591SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Apr 1, 2026 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jul 14, 2025 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jul 14, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2022 Accepting new patients
Self Medical Group CurrentSince Aug 1, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Chesapeake Regional Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Prisma Health Medical Group-Midlands Cardiovascular Disease CurrentSince Jul 8, 2024 Accepting new patients
Musc Community Physicians Interventional Cardiology CurrentSince Jul 1, 2022 Accepting new patients
Self Medical Group Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 8, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Cardiovascular Care of Northern Carolina PA Cardiovascular Disease Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

75 Remittance Dr
Dept 6764
Chicago, IL 60675

2900 12th Ave N
Ste 204E
Billings, MT 59101
Phone (406) 237-5001

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

300 Palmetto Health Pkwy
Ste 400
Columbia, SC 29212

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

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

1830 Pondfield Rd
Ste A2
Newberry, SC 29108

111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

Interoperability endpoints

  • Direct secure messaging: jclevenger405476@direct.musc.edu
  • Direct secure messaging: jclevenger790049@direct.ghs.myhfn.org
  • Direct secure messaging: jclevenger@nmgms.gwaydirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1801876909",
    "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",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALMETTO HEALTH PKWY STE 400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121764",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Pondfield Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291089522",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Kimel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Westwood Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624342",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "JEFFREY",
        "middle_name": "CABOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200000752",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "200000752",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "87591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "1266W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS ID#",
            "identifier": "40724",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WSCA GRP NPI #",
            "identifier": "1285682310",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891266W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801876909",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1830 Pondfield Rd Ste A2",
            "city": "Newberry",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291089522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.