Individual provider Active NPI

Jennifer F. Beatty, D.O.

  • Surgery Physician
  • Greenville, SC
National Provider Identifier
1952387979
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
910 Issued in SC
Practice address
135 Commonwealth Dr Ste 210
Greenville, SC 29615-4850
Phone
(864) 675-4815
NPI assigned
Dec 21, 2005
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 212870 SC
Surgery Physician 208600000X 910 SC Primary

Addresses

Primary practice location

135 Commonwealth Dr Ste 210
Greenville, SC 29615-4850

Mailing address

4975 Lacross Rd Ste 110
North Charleston, SC 29406-6531
Phone (843) 797-1941

Other practice location 1

4975 LaCross Rd Ste 110
North Charleston, SC 29406
Phone (843) 797-1941

Other identifiers 1

IdentifierTypeStateIssuer
009109MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA, KS, NJ, OR, GA, WV, NC, WI, TX, NM, CO, MO, VA, MN, IL, OH, MD, MS, NY, PA, DE, NE, AZ24 enrollments
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 24

Enrollment IDStateProvider typePAC IDDetails
I20090227000522 SC Practitioner - General SurgeryPractitioner - Geriatric Psychiatry 1254497134 Reassigns benefits to 8 organizations
I20250324002771 CA Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 2 organizations
I20251224000516 KS Practitioner - General Surgery 1254497134 Reassigns benefits to 1 organization
I20260109000230 NJ Practitioner - General Surgery 1254497134 Reassigns benefits to 1 organization
I20260121002243 OR Practitioner - General Surgery 1254497134 Reassigns benefits to 1 organization
I20260202001379 GA Practitioner - General Surgery 1254497134 Reassigns benefits to 1 organization
I20260209003244 WV Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260209003671 NC Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260216002381 WI Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260217000430 TX Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260224003481 NM Practitioner - General Surgery 1254497134 Reassigns benefits to 1 organization
I20260224003646 CO Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260227002838 MO Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260305003405 VA Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260311003600 MN Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260312000088 IL Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260313003013 OH Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260324000269 MD Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260324000526 MS Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260324000559 NY Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260324000781 PA Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260324000959 DE Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260331001935 NE Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization
I20260417002605 AZ Practitioner - General SurgeryPractitioner - Geriatric Medicine 1254497134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Geriatric Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geniemd Medical Group Mo PCGroup PAC ID 5193190072, 24 clinicians
Grayce Medical LLCGroup PAC ID 3779098819, 3 clinicians
BC Collective of Ga LLCGroup PAC ID 7214414499, 6 clinicians
BC Collective of KS LLCGroup PAC ID 1355835976, 2 clinicians
BC Collective of Ca PCGroup PAC ID 3870088123, 4 clinicians
BC Collective of NJ LLCGroup PAC ID 0143716472, 3 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

1111 Broadway
Suite 300
Oakland, CA 94607-4167
Phone (925) 460-9191

114 Hudson Cir
Sunset, SC 29685-2003
Phone (628) 237-0813

135 Commonwealth Dr
Greenville, SC 29615-4850

200 S 21St St
400A BC Collective NE
Lincoln, NE 68510-1044
Phone (855) 221-2642

202 N Cedar Ave
Suite 1
Owatonna, MN 55060-2306
Phone (855) 221-2642

2501 Chatham Rd
Springfield, IL 62704-4188
Phone (855) 221-2642

2800 E Enterprise Ave
Suite 333
Appleton, WI 54913-7889
Phone (855) 221-2642

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

446 Broadway
FL 4
New York, NY 10013-2546
Phone (855) 221-2642

4601 E Douglas Ave
Suite 150
Wichita, KS 67218-1011
Phone (855) 221-2642

51 N 5TH Ave
Suite 303
Arcadia, CA 91006-3711
Phone (855) 221-2642

724 N Montezuma St
Suite a
Prescott, AZ 86301-2066
Phone (855) 221-2642

812 N Prince St
Lancaster, PA 17603-2732
Phone (855) 221-2642

8401 Maryland Dr
Suite S
Richmond, VA 23294-4648
Phone (855) 221-2642

8735 Dunwoody PL
Atlanta, GA 30350-2995
Phone (855) 221-2642

8840 Cypress Waters Blvd
Suite 150
Coppell, TX 75019-4616
Phone (855) 221-2642

971 US Hwy 202 N
Suite R
Branchburg, NJ 08876-3757
Phone (855) 221-2642

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.38 of 100Reported as individual
Quality
72.32
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy45
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212870SCMDSurgery Physician
910SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onmed Professional Services PA CurrentSince Jan 1, 2026 Accepting new patients
BC Collective of Or LLC CurrentSince Oct 18, 2025 Accepting new patients
Grayce Medical NJ, LLC CurrentSince Aug 6, 2025 Accepting new patients
Mend Physician Services PLLC CurrentSince Nov 1, 2025 Accepting new patients
BC Collective of NJ LLC CurrentSince Nov 20, 2025 Accepting new patients
Grayce Medical, LLC CurrentSince Aug 6, 2025 Accepting new patients
BC Collective of KS LLC CurrentSince Nov 20, 2025 Accepting new patients
Grayce Medical KS, LLC CurrentSince Aug 6, 2025 Accepting new patients
The Breast Place LLC Surgery CurrentSince Oct 25, 2011 Accepting new patients
Geniemd Medical Group, Mo, P.C. CurrentSince Mar 1, 2025 Accepting new patients
Grayce Medical, Ca PC CurrentSince Aug 6, 2025 Accepting new patients
BC Collective of Ga LLC CurrentSince Dec 22, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Apr 13, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Surgery CurrentSince Apr 13, 2025 Accepting new patients
Onmed Professional Services PA Current Accepting new patients

Locations

724 N Montezuma St
Ste A
Prescott, AZ 86301
Phone (928) 308-3569

1111 Broadway
Ste 300
Oakland, CA 94607
Phone (281) 948-8014

6612 Owens Dr
Pleasanton, CA 94588
Phone (928) 460-9191

133 NE 2nd Ave
Miami, FL 33132

8735 Dunwoody Pl
Ste R
Sandy Springs, GA 30350
Phone (478) 298-6924

4601 E Douglas Ave
Ste 150
Wichita, KS 67218
Phone (423) 502-1508

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

200 S 21st St
Ste 400A
Lincoln, NE 68510
Phone (402) 413-0995

971 US Highway 202 N
Ste R
Branchburg, NJ 08876
Phone (631) 987-4632

5441 S Macadam Ave
Ste R
Portland, OR 97239
Phone (818) 618-3619

2085 Henry Tecklenburg Dr
Ste 320
Charleston, SC 29414
Phone (843) 402-1211

78 Folly Road Blvd
Ste B9
Charleston, SC 29407
Phone (630) 426-9437

135 Commonwealth Dr
Ste 210
Greenville, SC 29615
Phone (864) 242-1750

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

4975 Lacross Rd
Ste 110
North Charleston, SC 29406
Phone (843) 723-2835

6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088

2025 Guadalupe St
Ste 260
Austin, TX 78705
Phone (508) 658-3489

2800 E Enterprise Ave
Ste 333
Appleton, WI 54913
Phone (630) 687-0455

110 Main St
Beckley, WV 25801
Phone (231) 260-4622

Interoperability endpoints

  • Direct secure messaging: jbeatty1252694@direct.bsmhealth.org
  • Direct secure messaging: jennifer.beatty.2@19612.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1952387979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 110",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066531",
            "telephone_number": "843-797-1941",
            "fax_number": "843-574-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COMMONWEALTH DR STE 210",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154850",
            "telephone_number": "864-675-4815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4975 LaCross Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "29406",
            "country_code": "US",
            "telephone_number": "843-797-1941",
            "fax_number": "843-574-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JENNIFER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "212870",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009109",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.