NPIMap

Individual provider Active NPI

Savannah Rose Styles

  • Medical Physician Assistant
  • Clinton, SC
National Provider Identifier
1255107561
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5117 Issued in SC
Practice address
300 Plaza Cir
Clinton, SC 29325-7557
Phone
(864) 938-9690
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 5117 SC Primary
Physician Assistant 363A00000X 5117 SC

Addresses

Primary practice location

300 Plaza Cir
Clinton, SC 29325-7557

Mailing address

509 McKittrick Bridge Rd
Fountain Inn, SC 29644-9797
Phone (615) 390-1165

Other practice location 1

5061 Sunset Blvd
Lexington, SC 29072-9154
Phone (864) 990-1423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318001891 SC Practitioner - Physician Assistant 8123465861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family Medicine of Laurens County PAGroup PAC ID 3375602048, 3 clinicians
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

300 Plaza Cir
Suite E
Clinton, SC 29325-7557
Phone (864) 938-9690

5061 Sunset Blvd
Lexington, SC 29072-9154
Phone (864) 990-1423

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5117SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Dec 15, 2025 Accepting new patients
Prisma Health Medical Group-Midlands PastSince Dec 15, 2025 Accepting new patients

Locations

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

5061 Sunset Blvd
Lexington, SC 29072
Phone (864) 990-1423

Organizations & group practices 3

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.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1255107561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MCKITTRICK BRIDGE RD",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449797",
            "telephone_number": "615-390-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAZA CIR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257557",
            "telephone_number": "864-938-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5061 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290729154",
            "country_code": "US",
            "telephone_number": "864-990-1423",
            "fax_number": "864-990-1435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STYLES",
        "first_name": "SAVANNAH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "5117",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.