SAVANNAH ROOF PA
NPI 1154808525
Physician Assistant - Medical in Columbia, SC

Q: What is Savannah Roof's NPI number?

The NPI number for Savannah Roof is 1154808525. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Q: What is Savannah Roof's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Savannah Roof was last updated on December 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 27, 2018PECOS Enrolled

166 STONERIDGE DR, COLUMBIA, SC 29210(803) 461-3000 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2019, Sep 19, 2019, Sep 3, 2019 and 17 more (20 updates tracked since 2018).

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About Savannah Roof Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAVANNAH ROOF PA (NPI 1154808525) is an individual medical provider in Columbia, South Carolina and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154808525

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSAVANNAH ROOFCredential: PA

Location Address166 STONERIDGE DRColumbia, SC 29210-8239

Mailing Address166 Stoneridge DrColumbia, SC 29210-8239 · (803) 461-3000

Phone(803) 461-3000

Sole ProprietorNo

Enumeration DateJuly 27, 2018

Last NPPES UpdateDecember 31, 201920 updates tracked since enumeration

✔ NPI 1154808525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

166 STONERIDGE DR, Columbia, SC 29210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Roof Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.