JENNA ELIZABETH ROLLER PA-C NPI 1548509052

NPI Information

  • NPI: 1548509052
  • Provider Name: JENNA ELIZABETH ROLLER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 MOSS CREEK VLG
    HILTON HEAD, SC
    ZIP 29926
  • Phone: (843) 681-5077

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NPI Details

Jenna Elizabeth Roller, PA-C is a surgical physician assistant in Hilton Head, SC. Jenna Elizabeth Roller, PA-C NPI is 1548509052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 MOSS CREEK VLG
HILTON HEAD, SC
ZIP 29926-105
Phone: (843) 681-5077
Fax: (843) 681-5012

The NPI 1548509052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 3/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery2950SOUTH CAROLINANo
2363AS0400XPhysician AssistantSurgicalC0004965MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12950OTHERSOUTH CAROLINASC PA LICENSE
2C0004965OTHERMARYLAND BOARD OF PHYSICIANS
311011359OTHERNCCPA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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