Active NPI
Jennifer F. Beatty, D.O.
- Surgery Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 910
- Practice address
- 135 Commonwealth Dr Ste 210
Greenville, SC 29615-4850 - Phone
- (864) 675-4815
- NPI assigned
- Dec 21, 2005
- Last updated
- Jul 24, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009109 | Medicaid | SC |
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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 24
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 72.32
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 45 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212870 | SC | MD | Surgery Physician |
| 910 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onmed Professional Services PA | Current | Accepting new patients | |
| BC Collective of Or LLC | Current | Accepting new patients | |
| Grayce Medical NJ, LLC | Current | Accepting new patients | |
| Mend Physician Services PLLC | Current | Accepting new patients | |
| BC Collective of NJ LLC | Current | Accepting new patients | |
| Grayce Medical, LLC | Current | Accepting new patients | |
| BC Collective of KS LLC | Current | Accepting new patients | |
| Grayce Medical KS, LLC | Current | Accepting new patients | |
| The Breast Place LLC | Surgery | Current | Accepting new patients |
| Geniemd Medical Group, Mo, P.C. | Current | Accepting new patients | |
| Grayce Medical, Ca PC | Current | Accepting new patients | |
| BC Collective of Ga LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Surgery | Current | 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
- jbeatty1252694@direct.bsmhealth.org
- 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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
Surgery
-
- Clinic/Center
- Atlanta, GA
- NPI 1700746237
AZ, CO, DE, IL, MD, MN, MO, MS, NC, NE, NM, NY, OH, PA, SC, TX, VA, WI, WV
-
- Clinic/Center
- Wichita, KS
- NPI 1528929536
-
- Clinic/Center
- Branchburg, NJ
- NPI 1457211302
-
- Internal Medicine Physician
- Oakland, CA
- NPI 1639710643
-
- Clinic/Center
- Sacramento, CA
- NPI 1396605283
-
- Clinic/Center
- Portland, OR
- NPI 1235099185
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
dba St. Francis Millennium
- Clinic/Center
- Greenville, SC
- NPI 1104052752
Hospital
-
dba St. Francis-Downtown
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
dba Bon Secours Laboratory Services - Greenville
- Clinical Medical Laboratory
- Greenville, SC
- NPI 1972127017
Hospital
-
dba St. Francis Cancer Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
dba Bon Secours St. Francis Surgery Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.