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

Derek Thomas Roper, PA

Individual provider Physician Assistant · NPI 1265483069

Derek Thomas Roper, PA is a Physician Assistant in Easley, South Carolina. Qualified in 2003, 23 years ago. Practices with Csp Enterprises LLC, a 12-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
23
Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

115 Brushy Creek Rd
Easley, SC 29642-1120
Phone: (864) 635-0376
Fax: (864) 442-6848
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence A849 (SC)

Record details

NPI number1265483069
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing addressPo Box 1315, Easley, SC 29641-1315

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Csp Enterprises Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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