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: August 09, 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
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

Other Identifiers 1

Medicaid307787SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner
1330 BOILING SPRINGS RD, SUITE 2500
SPARTANBURG, SC 29303
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1330 BOILING SPRINGS RD, SUITE 2900
SPARTANBURG, SC 29303
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Neuromusculoskeletal Medicine & OMM
1330 BOILING SPRINGS RD, SUITE 1800
SPARTANBURG, SC 29303
Obstetrics & Gynecology (Reproductive Endocrinology)
1330 BOILING SPRINGS RD, SUITE 2200
SPARTANBURG, SC 29303
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Clinical Medical Laboratory
1330 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD, SUITE 1600
SPARTANBURG, SC 29303

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.

What insurance does Jack Cleland accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 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.