JENNIFER R. COLLINSWORTH MD – NPI #1740867795
Pediatrics

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.

JENNIFER COLLINSWORTH is a physician located in GREENVILLE, SC. NPPES has assigned the NPI number 1740867795 to JENNIFER COLLINSWORTH on March 25, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JENNIFER NICOLE RUTT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER COLLINSWORTH below.

NPI Profile for
JENNIFER R. COLLINSWORTH

NPI Number
1740867795
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER R. COLLINSWORTH
Former Name: JENNIFER NICOLE RUTT
Credentials
MD
Primary location
200 PATEWOOD DR STE A120
GREENVILLE, SC 29615-6305
Phone: (864) 454-2670 Fax: (864) 454-2679
1 Other location(s):
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-9253
Fax: (336) 713-4501
Mailing address
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone: (864) 695-6697 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
SC 94466
390200000X
- Student in an Organized Health Care Education/Training Program
NC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE - Graduated 2021
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.