NPIMap

Individual provider Active NPI

Gabriel Isaac Roberts, PA-C

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1316689441
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MPA.4368 Issued in SC
Practice address
975 W Faris Rd
Greenville, SC 29605-4241
Phone
(864) 729-8330
NPI assigned
Apr 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MPA.4368 SC Primary

Addresses

Primary practice location

975 W Faris Rd
Greenville, SC 29605-4241

Mailing address

975 W Faris Rd
Greenville, SC 29605-4241
Phone (864) 729-8330

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
I20220527001421 SC Practitioner - Physician Assistant 8921486267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1097 Cook Rd
Orangeburg, SC 29118-8209
Phone (803) 395-3370

111 John Lawson Ave
Santee, SC 29142-8654
Phone (803) 395-2070

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MPA.4368SCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jun 13, 2022 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Single Specialty CurrentSince Jun 13, 2022 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1175 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-2579

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

1175 Cook Rd
Ste 320
Orangeburg, SC 29118
Phone (803) 395-3960

Interoperability endpoints

  • Direct secure messaging: groberts319988@direct.musc.edu

Organizations & group practices 6

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1316689441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054241",
            "telephone_number": "864-729-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054241",
            "telephone_number": "864-729-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GABRIEL",
        "middle_name": "ISAAC",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.4368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.