Individual provider Active NPI

Molly Speight Roberts, PA-C

  • Physician Assistant
  • Anderson, SC
National Provider Identifier
1366759839
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3314 Issued in SC
Practice address
2022 Cardinal Cir
Anderson, SC 29621-1504
Phone
(864) 224-7577
Fax
(864) 225-5165
NPI assigned
Sep 7, 2010
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0005751 MD
Physician Assistant 363A00000X 0010-02457 NC
Physician Assistant 363A00000X 3314 SC Primary

Addresses

Primary practice location

2022 Cardinal Cir
Anderson, SC 29621-1504

Mailing address

10 Enterprise Blvd Ste 207
Greenville, SC 29615-3554
Phone (864) 331-2505

Other practice location 1

10 Enterprise Blvd Ste 207
Greenville, SC 29615-3554
Phone (864) 331-2505

Other identifiers 1

IdentifierTypeStateIssuer
NCF4201298OtherNCMEDICARE PTAN

Other names 1

  • Miss Molly Elizabeth Speight Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200520002531 SC Practitioner - Physician Assistant 1153558358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Caroline R. Price MD PAGroup PAC ID 3779745294, 3 clinicians
Anderson Skin and Cancer Clinic PAGroup PAC ID 1254313232, 8 clinicians

Practice addresses (Care Compare)

10 Enterprise Blvd
Greenville, SC 29615-3554
Phone (864) 331-2505

2022 Cardinal Cir
Anderson, SC 29621-1504
Phone (864) 224-7577

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
84.56
Promoting interoperability
74
Improvement activities
40
Cost
87.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3314SCMDDentist
C0005751MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Skin and Cancer Clinic PA CurrentSince Jan 15, 2026 Accepting new patients
Peter G Manos MD LLC PastSince Mar 20, 2025 Accepting new patients

Locations

200 Carwellyn Rd
Abbeville, SC 29620
Phone (803) 224-7577

2022 Cardinal Cir
Anderson, SC 29621
Phone (864) 224-7577

908 S Mechanic St
Pendleton, SC 29670
Phone (864) 224-7577

106 Municipal Dr
Seneca, SC 29672
Phone (864) 224-7577

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1366759839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 207",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153554",
            "telephone_number": "864-331-2505",
            "fax_number": "864-331-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 CARDINAL CIR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211504",
            "telephone_number": "864-224-7577",
            "fax_number": "864-225-5165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Enterprise Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153554",
            "country_code": "US",
            "telephone_number": "864-331-2505",
            "fax_number": "864-331-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MOLLY",
        "middle_name": "SPEIGHT",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005751",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02457",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCF4201298",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "SPEIGHT",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.