Crestus William Roser
NPI 1639810641ActiveIndividual· Physician Assistant· Savannah, TN
Physician Assistant with Emergency Coverage LLC and 1 other group, practicing in Savannah, Tennessee. Enrolled in Medicare as practitioner - physician assistant. Lists Jackson-Madison County General Hospital as a hospital affiliation.
Overview
| NPI | 1639810641 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Sep 30, 2024 |
| Certified by provider | Sep 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6112 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Emergency Coverage LLCRichmond, VA · 775 clinicians
- 45 Urgent Care PCJackson, TN · 5 clinicians
Hospital affiliation
- Jackson-Madison County General HospitalJackson, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Savannah
- 1790168938
- 1881954329
- 1831289057