Timothy A Pysell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2821 Issued in SC

Practice address

242 Adley Way
Greenville, SC 29607-6511

Phone

(864) 203-5715

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Emory University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rejuven Joint CareGroup PAC ID 1355739384, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rejuven Joint Care

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1376114033
  Medicare reassignment Care Compare group
• Midlands Orthopaedics and Neurosurgery, PA

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1447235106
  Medicare reassignment
• Midlands Orthopaedics and Neurosurgery PA

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1598659393
  NPD
• Rejuven Joint Care

  • Multi-Specialty Clinic/Center
  • Spartanburg, SC
  • NPI 1922862846
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558372011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-203-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-203-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Blanding St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013520",
            "country_code": "US",
            "telephone_number": "803-256-4107",
            "fax_number": "803-254-2825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYSELL",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3104",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2821",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PWG Partners, Inc.
• Emma Pyle, LMSW
• Anzetta Nekol Pyles, LPC
• Burt Warren Pyles, PA-C
• Jane W. Pyron, O.T.
• Adnan Qadeer, MD
• Megan Quackenbush, LPCA
• Jennifer Marie Quagliariello, LCSW
• Quality Care Home Care
• Cassandra Quam

• Physician Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.