NPIMap

Individual provider Active NPI

Casey Elizabeth Roche, PA

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1992421267
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
111 Lovett Dr
Greenville, SC 29607-6510
Phone
(801) 869-4100
Fax
(801) 869-4119
NPI assigned
Oct 18, 2022
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 Primary

Addresses

Primary practice location

111 Lovett Dr
Greenville, SC 29607-6510

Mailing address

1312 Spindle Cir
Simpsonville, SC 29681-2574
Phone (910) 547-1991

Other practice location 1

103 Harth Pl Ste A
Summerville, SC 29485-8107
Phone (864) 813-7910

Other practice location 2

474 Bypass 72 NW Ste B
Greenwood, SC 29649-1404
Phone (864) 223-3858

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
I20221104001552 SC Practitioner - Physician Assistant 4688041528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welscare of South Carolina, LLCGroup PAC ID 1052774957, 9 clinicians

Practice addresses (Care Compare)

103 Harth PL
Suite a
Summerville, SC 29485-8107
Phone (801) 869-4100

111 Lovett Dr
Greenville, SC 29607-6510
Phone (801) 869-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4656SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

5208 Calhoun Memorial Hwy
#C
Easley, SC 29640
Phone (864) 307-8672

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

474 Bypass 72 NW
#B
Greenwood, SC 29649
Phone (864) 223-3858

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.

Hospital & facility affiliations 6

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1992421267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SPINDLE CIR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812574",
            "telephone_number": "910-547-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LOVETT DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076510",
            "telephone_number": "801-869-4100",
            "fax_number": "801-869-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Harth Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858107",
            "country_code": "US",
            "telephone_number": "864-813-7910",
            "fax_number": "864-813-7911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "474 Bypass 72 NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296491404",
            "country_code": "US",
            "telephone_number": "864-223-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "CASEY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.