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JACKEE IJEOMA CLEMENT MD
NPI 1861011223
Family Medicine in Cornelius, NC

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031(704) 316-5170(704) 316-5172 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2023, May 3, 2023, Sep 18, 2020 and 1 more (4 updates tracked since 2020).

About Jackee Ijeoma Clement Md NPPES

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

JACKEE IJEOMA CLEMENT MD (NPI 1861011223) is an individual family medicine provider in Cornelius, North Carolina, licensed in North Carolina (2021-03172) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861011223
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACKEE IJEOMA CLEMENTCredential: MD
Location Address19485 OLD JETTON RD STE 100Cornelius, NC 28031-6583
Mailing Address14512 Harvington DrHuntersville, NC 28078-2215 · (443) 520-3818
Phone(704) 316-5170
Fax(704) 316-5172
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateJune 8, 20234 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1861011223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2021-03172
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19485 OLD JETTON RD STE 100, Cornelius, NC 28031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

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

Jackee Ijeoma Clement Md 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 ID6800219809
PECOS Enrollment IDI20230517003032
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 Reassignments

5

Medicare enrollment records show Jackee Clement reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Family Medicine
19485 OLD JETTON ROAD, SUITE 100
Cornelius, NC 28031
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1255709432 (704) 316-5170
The Charlotte-Mecklenburg Hospital Authority
2.5 mi
Medical Oncology
9606 CALDWELL COMMONS CIR, SUITE B
Cornelius, NC 28031
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1548530199 (704) 992-6033
Carolina Medicorp Enterprises, LLC
2.7 mi
Urgent Care
9121 SAM FURR RD STE 108
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 117 clinicians in this Medicare group
NPI 1972488427 (704) 324-3590
Scotland Memorial Hospital, Inc.
89 mi
Surgery
1007 CHERAW ST
Bennettsville, SC 29512
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1598143620 (843) 535-0939
Cowlitz Indian Tribe
2,275 mi
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
NPI 1538412630 (360) 353-9431

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 28031 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

DR. GERARDO PEREZ DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. RACHEL ANNE LATTERICH DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
MICHAELA LYNNE ROBERTS MD
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
DEVON VARNEY DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
JYOTHI PRAVALLIKA EDUPUGANTI DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
JAMIE DYVIG CREWS
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. PUJA DALAL
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775

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 Jackee Clement's NPI number?

The NPI number for Jackee Clement is 1861011223. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Jackee Clement located?

Jackee Clement practices at 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031. The listed phone number is (704) 316-5170.

What is Jackee Clement's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackee Clement enrolled in Medicare?

Yes. Jackee Clement 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 organizations bill Medicare for Jackee Clement's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackee Clement reassigns Medicare benefits to 5 organizations: Novant Health Medical Group, LLC (Cornelius, NC), The Charlotte-Mecklenburg Hospital Authority (Cornelius, NC), Carolina Medicorp Enterprises, LLC (Huntersville, NC), Scotland Memorial Hospital, Inc. (Bennettsville, SC) and Cowlitz Indian Tribe (Vancouver, WA). Each 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 Jackee Clement's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackee Clement accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health list Jackee Clement 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 Jackee Clement was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.