DR. JENNIFER RUTT COLLINSWORTH MD
NPI 1740867795
Pediatrics in Greenville, SC

Active since March 25, 2021PECOS Enrolled
200 PATEWOOD DR STE A120, GREENVILLE, SC 29615(864) 454-2670(864) 454-2679 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2025, Jul 1, 2024, Mar 25, 2021 (3 updates tracked since 2021).

About Dr. Jennifer Rutt Collinsworth Md NPPES

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

DR. JENNIFER RUTT COLLINSWORTH MD (NPI 1740867795) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (94466) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1740867795
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JENNIFER RUTT COLLINSWORTHCredential: MD
Location Address200 PATEWOOD DR STE A120Greenville, SC 29615-6305
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Fax(864) 454-2679
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1740867795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · 94466✔ Licensed in NC · 2024-01477
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 PATEWOOD DR STE A120, Greenville, SC 29615

Other Names 1

Former Name (1)Jennifer Nicole Rutt Md

Secondary Practice Location 1

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-9253 · Fax (336) 713-4501

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)

Dr. Jennifer Rutt Collinsworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Family Medicine
2A CLEVELAND CT
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
200 PATEWOOD DR STE A120
GREENVILLE, SC 29615
Pediatrics
200 PATEWOOD DR STE A120
GREENVILLE, SC 29615
Pediatrics
200 PATEWOOD DR STE A120
GREENVILLE, SC 29615
Pediatrics
200 PATEWOOD DR STE A120
GREENVILLE, SC 29615

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 Jennifer Collinsworth's NPI number?

The NPI number for Jennifer Collinsworth is 1740867795. It was assigned to this individual provider in the NPPES registry on March 25, 2021. The provider is also known as Jennifer Nicole Rutt MD.

Where is Jennifer Collinsworth located?

Jennifer Collinsworth practices at 200 Patewood Dr Ste A120, Greenville, SC 29615. The listed phone number is (864) 454-2670.

What is Jennifer Collinsworth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Collinsworth enrolled in Medicare?

Yes. Jennifer Collinsworth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Collinsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Collinsworth reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, 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 Jennifer Collinsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Collinsworth accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Jennifer Collinsworth 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 Jennifer Collinsworth was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.