Individual provider Active NPI

Lauren Elrod Roux, PA

  • Medical Physician Assistant
  • Greenville, SC
National Provider Identifier
1124484696
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3160 Issued in SC
Practice address
525 Verdae Blvd # 200
Greenville, SC 29607-4021
Phone
(864) 220-1110
Fax
(864) 220-1104
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8347-23 WI
Medical Physician Assistant 363AM0700X 3160 SC Primary

Addresses

Primary practice location

525 Verdae Blvd # 200
Greenville, SC 29607-4021

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other identifiers 1

IdentifierTypeStateIssuer
100322201MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lroux430558@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240418002198 NC Practitioner - Physician Assistant 1557668613 Reassigns benefits to 1 organization
I20250527000068 IL Practitioner - Physician Assistant 1557668613 Reassigns benefits to 1 organization
I20250602001988 WI Practitioner - Physician Assistant 1557668613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Mar 9, 2025 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 9, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 22, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 22, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
University Medical Associates Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: lroux430558@direct.myadvocateaurora.org
  • Direct secure messaging: lroux2808546@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: lauren.roux@tribe513.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1124484696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD # 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-220-1110",
            "fax_number": "864-220-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUX",
        "first_name": "LAUREN",
        "middle_name": "ELROD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "8347-23",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100322201",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lroux430558@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "525 Verdae Blvd # 200",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "525 Verdae Blvd # 200",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.