Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestus William Roser

Individual provider Physician Assistant · NPI 1639810641

Crestus William Roser is a Physician Assistant in Savannah, Tennessee. Qualified in 2022, 4 years ago. Practices with 45 Urgent Care PC, a 6-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022

Practice location Address checks out

760 Airways Blvd
Savannah, TN 38372-3274
Phone: (731) 607-5157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6112 (TN)

Record details

NPI number1639810641
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address760 Airways Blvd, Savannah, TN 38372-3274

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice 45 Urgent Care Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Savannah