Derek Thomas Roper, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A849 Issued in SC

Practice address

115 Brushy Creek Rd
Easley, SC 29642-1120

Phone

(864) 635-0376

Fax

(864) 442-6848

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CSP Enterprises LLCGroup PAC ID 3072949320, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derek.roper.1@7857.direct.athenahealth.com

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.

• CSP Enterprises LLC

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1821637760
  Medicare reassignment Care Compare group
• Carolina Spine Pain LLC

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1447918230
  NPD
• Sheridan Emergency Physician Services of South Carolina, PA

  • Emergency Medicine Physician
  • Easley, SC
  • NPI 1033453618

  Physician Assistant

  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  Physician Assistant

  NPD (past)

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

• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1578044053
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1639656713
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1669951364
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1760963243
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1790264497
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1265483069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1315",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296411315",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "DEREK",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "A849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Rogers, M.D.
• Kimberly E Rogers, M.ED.
• Malcolm Macdonald Rogers, M.D.
• Michelle Rogers
• Tosha Dianne Rollins, LPC
• Juan Rosa, OT
• Jon Michael Ross, PA-C
• Jill Anne Roy, LPN
• RPVR Corporation
• Kwajulyn Onothia Rucker, PHD

• Physician Assistant in Easley, SC
• Providers in Easley, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.