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STEVONNA MCKENZIE JETER
NPI 1184457624
Speech-Language Pathologist in Boiling Springs, SC

Active since August 21, 2024Accepts Medicare Assignment
1443 BELLA GRACE CT, BOILING SPRINGS, SC 29316(864) 494-0817 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stevonna Mckenzie Jeter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVONNA MCKENZIE JETER (NPI 1184457624) is an individual speech-language pathologist provider in Boiling Springs, South Carolina, licensed in South Carolina (7255) and active in the NPI registry since August 2024. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1184457624
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTEVONNA MCKENZIE JETER
Location Address1443 BELLA GRACE CTBoiling Springs, SC 29316-8801
Mailing Address1443 Bella Grace CtBoiling Springs, SC 29316-8801 · (864) 494-0817
Phone(864) 494-0817
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1184457624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in SC · 7255
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1443 BELLA GRACE CT, Boiling Springs, SC 29316
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stevonna Mckenzie Jeter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951832161
PECOS Enrollment IDI20250314002411

Medicare Billing Reassignment

Medicare enrollment records show Stevonna Jeter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Weston Group Of South Carolina Inc
203 mi
Physical Therapist
60 OAK FOREST RD
Bluffton, SC 29910
  • Reassigned Medicare billing, South Carolina enrollment
  • 138 clinicians in this Medicare group
NPI 1073957064 (610) 438-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
88 services11 patients

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 Stevonna Jeter's NPI number?

The NPI number for Stevonna Jeter is 1184457624. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Stevonna Jeter located?

Stevonna Jeter practices at 1443 Bella Grace Ct, Boiling Springs, SC 29316. The listed phone number is (864) 494-0817.

What is Stevonna Jeter's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Stevonna Jeter enrolled in Medicare?

Yes. Stevonna Jeter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stevonna Jeter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stevonna Jeter reassigns Medicare benefits to The Weston Group Of South Carolina Inc (Bluffton, 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 Stevonna Jeter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stevonna Jeter was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.