Active NPI
Samurdhi Jayaweera Roberts, PA-C
- Physician Assistant
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3822
- Practice address
- 501 Carnes Crossing Blvd Ste B
Summerville, SC 29486-0407 - Phone
- (843) 212-8080
- Fax
- (843) 203-2299
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3822 | SC | Primary |
Addresses
Primary practice location
501 Carnes Crossing Blvd Ste B
Summerville, SC 29486-0407
Mailing address
PO Box 632516
Cincinnati, OH 45263-2516
Phone (888) 472-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4854PA | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Samurdhi.Roberts@rsfpp.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1114 N Main St
Summerville, SC 29483-7326
Phone (843) 212-8070
1711 Clements Ferry Rd
Unit 112
Charleston, SC 29492-8717
Phone (843) 606-7893
2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800
319 Folly Rd
Charleston, SC 29412-2518
Phone (843) 723-8823
3885 W Ashley Cir
Suite F600
Charleston, SC 29414-9273
Phone (843) 853-3474
4278 Ladson Rd
Ladson, SC 29456-5452
Phone (844) 975-6683
8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 789-1850
Hospital & facility affiliations
- Roper Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3822 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients |
Locations
3885 W Ashley Cir
Ste F600
Charleston, SC 29414
Phone (843) 402-1360
3575 Maybank Hwy
Ste A
Johns Island, SC 29455
Phone (843) 402-1870
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
5070 International Blvd
Ste 131
North Charleston, SC 29418
Phone (843) 402-2995
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
501 Carnes Crossing Blvd
#B
Summerville, SC 29486
Phone (843) 212-8080
Interoperability endpoints
- sroberts1236061@direct.bsmhealth.org
- samurdhi.roberts@rsfpp.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Surgical Oncology Physician
- Summerville, SC
- NPI 1619489655
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467774042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632516",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632516",
"telephone_number": "888-472-0043",
"fax_number": "513-653-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 CARNES CROSSING BLVD STE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294860407",
"telephone_number": "843-212-8080",
"fax_number": "843-203-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SAMURDHI",
"middle_name": "JAYAWEERA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4854PA",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Samurdhi.Roberts@rsfpp.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Document and CCD Exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Care Documents",
"address_1": "5070 International Blvd Ste 131",
"city": "N Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294186007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.