Individual provider Active NPI

Elizabeth Anne Rose, PA-C

  • Physician Assistant
  • Bluffton, SC
National Provider Identifier
1841502978
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
64 Bluffton Rd
Bluffton, SC 29910-7621
Phone
(843) 757-0676
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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 Primary

Addresses

Primary practice location

64 Bluffton Rd
Bluffton, SC 29910-7621

Mailing address

64 Bluffton Rd
Bluffton, SC 29910-7621
Phone (843) 757-0676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220221000763 GA Practitioner - Physician Assistant 2668666561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

Practice addresses (Care Compare)

60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1547SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Urgent Care Center of Richmond Hill, LLC CurrentSince Nov 18, 2021 Accepting new patients

Locations

632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545

2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273

Interoperability endpoints

  • Direct secure messaging: elizabeth.rose.1@31652.direct.athenahealth.com

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, 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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1841502978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLUFFTON RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107621",
            "telephone_number": "843-757-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLUFFTON RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107621",
            "telephone_number": "843-757-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.