Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jennifer Rutt Collinsworth, MD

Individual provider Pediatrics Physician · NPI 1740867795

Dr. Jennifer Rutt Collinsworth, MD is a Pediatric Medicine in Greenville, South Carolina. Graduated from University of South Carolina School of Medicine, Greenville in 2021, 5 years ago. Works from 2 locations. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Trained at
University of South Carolina School of Medicine, Greenville
Licensed in
NC, SC
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Patewood Dr Ste A120
Greenville, SC 29615-6305
Phone: (864) 454-2670
Fax: (864) 454-2679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-9253

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 94466 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 2024-01477 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NC)

Record details

NPI number1740867795
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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