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JACK WILSON CLELAND M.D.
NPI 1912166315
Pediatrics in Spartanburg, SC

Active since June 02, 2008PECOS Enrolled
1330 BOILING SPRINGS RD, SUITE 1300, SPARTANBURG, SC 29303(864) 560-6345(864) 560-6054 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack Wilson Cleland M.d. NPPES

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

JACK WILSON CLELAND M.D. (NPI 1912166315) is an individual pediatrics provider in Spartanburg, South Carolina, licensed in South Carolina (30778) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912166315
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACK WILSON CLELANDCredential: M.D.
Location Address1330 BOILING SPRINGS RD, SUITE 1300Spartanburg, SC 29303-4201
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-6345
Fax(864) 560-6054
Sole ProprietorNo
Enumeration DateJune 2, 2008
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1912166315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · 30778✔ Licensed in SC · LL30778
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.
1330 BOILING SPRINGS RD, Spartanburg, SC 29303
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Other Identifiers 1

Medicaid307787SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Wilson Cleland M.d. 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 Reassignments

3

Medicare enrollment records show Jack Cleland reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Neuromusculoskeletal Medicine & OMM
1330 BOILING SPRINGS RD, SUITE 1800
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • 814 clinicians in this Medicare group
NPI 1043309917 (864) 560-9646
Cherokee Medical Center
16 mi
Pediatrics
103 STUARD ST
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 139 clinicians in this Medicare group
NPI 1851942346 (864) 560-6000
Prisma Health University Medical Group
19 mi
Gynecology
3093 S HIGHWAY 14 STE 101
Greer, SC 29650
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1003619313 (864) 720-1900

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 29303 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 20

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

DAVID H WHITESIDE FNP
Nurse Practitioner
1330 BOILING SPRINGS RD, SUITE 2500
SPARTANBURG, SC 29303
Spartanburg County (864) 585-5433
CARDIOSOM, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1330 BOILING SPRINGS RD, SUITE 2900
SPARTANBURG, SC 29303
Spartanburg County (864) 529-3460
SPARTANBURG REGIONAL MED CTR
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6345
SPARTANBURG MEDICAL CENTER
Neuromusculoskeletal Medicine & OMM
1330 BOILING SPRINGS RD, SUITE 1800
SPARTANBURG, SC 29303
Spartanburg County (864) 560-9646
GREER GROUP PRACTICE, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
1330 BOILING SPRINGS RD, SUITE 2200
SPARTANBURG, SC 29303
Spartanburg County (864) 583-2669
ERNEST N MISTR MD
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6345
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Clinical Medical Laboratory
1330 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 208-1126
LANDRIE FOX MORRIS PA
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD, SUITE 1600
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6396

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 Jack Cleland's NPI number?

The NPI number for Jack Cleland is 1912166315. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Jack Cleland located?

Jack Cleland practices at 1330 Boiling Springs Rd Suite 1300, Spartanburg, SC 29303. The listed phone number is (864) 560-6345.

What is Jack Cleland's specialty?

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

Is Jack Cleland enrolled in Medicare?

Yes. Jack Cleland is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Cleland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Cleland reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Spartanburg, SC), Cherokee Medical Center (Gaffney, SC) and Prisma Health University Medical Group (Greer, SC). 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 Jack Cleland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Cleland accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 3 other insurers list Jack Cleland 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 Jack Cleland was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.