Active NPI
Paula Velissaris
- Physician Assistant
- Simpsonville, SC
National Provider Identifier
1396607370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 304 S Orchard Farms Ave
Simpsonville, SC 29681-4863 - Phone
- (864) 201-5220
- NPI assigned
- Nov 28, 2025
- Last updated
- Nov 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
304 S Orchard Farms Ave
Simpsonville, SC 29681-4863
Mailing address
304 S Orchard Farms Ave
Simpsonville, SC 29681-4863
Phone (864) 201-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1396607370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S ORCHARD FARMS AVE",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814863",
"telephone_number": "864-201-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S ORCHARD FARMS AVE",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814863",
"telephone_number": "864-201-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELISSARIS",
"first_name": "PAULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-28",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.