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

Kelly Lee Jeanes, PA-C

Individual provider Physician Assistant · NPI 1316577315

Kelly Lee Jeanes, PA-C is a Physician Assistant in Greenville, South Carolina. Qualified in 2019, 7 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10 Patewood Dr Ste 130
Greenville, SC 29615-6317
Phone: (864) 455-8988
Fax: (864) 522-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3476 (SC)

Record details

NPI number1316577315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2020
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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