MRS. JAYNE STAFFORD CLARK
NPI 1164866620
Counselor in Greenwood, SC
About Mrs. Jayne Stafford Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAYNE STAFFORD CLARK (NPI 1164866620) is an individual counselor in Greenwood, South Carolina and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jayne Stafford Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jayne Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 236 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENWOOD, SC 29646
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jayne Clark's NPI number?
The NPI number for Jayne Clark is 1164866620. It was assigned to this individual provider in the NPPES registry on April 26, 2013.
Where is Jayne Clark located?
Jayne Clark practices at 1547 Parkway, Greenwood, SC 29646. The listed phone number is (864) 229-7120.
What is Jayne Clark's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Jayne Clark enrolled in Medicare?
Yes. Jayne Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jayne Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jayne Clark reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Greenwood, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jayne Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jayne Clark accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Jayne Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jayne Clark was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jayne Stafford Clark · NPI 1164866620
Counselor provider in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since April 26, 2013.
## Identity
- **NPI:** 1164866620 (Entity type: Individual)
- **Enumerated:** April 26, 2013
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1547 PARKWAY, Greenwood, SC 29646-4081
- **Phone:** (864) 229-7120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** South Carolina Dept Of Mental Health Accounting Office (NPI 1124135009, Greenwood, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 26, 2013
- **Other identifiers:** Medicare PIN 3335 (SC); Medicaid 421504 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1164866620) · Data from the CMS NPPES public registry.