Active NPI
Nimeshika Wasana Yatiyawela, PA
- Physician Assistant
- Greenville, SC
National Provider Identifier
1851049464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4544
- Practice address
- 317 Saint Francis Dr Ste 330
Greenville, SC 29601-3914 - Phone
- (864) 335-7555
- Fax
- (864) 459-0877
- NPI assigned
- Mar 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 4544 | SC | Primary |
Addresses
Primary practice location
317 Saint Francis Dr Ste 330
Greenville, SC 29601-3914
Mailing address
PO Box 631341
Cincinnati, OH 45263-1341
Other practice location 1
4350 US 421 S
Lillington, NC 27546-6760
Phone (910) 893-1210
Other practice location 2
853 N Church St
Spartanburg, SC 29303-3098
Phone (864) 573-7511
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
Hospital & facility affiliations
- St Francis-Downtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients |
Locations
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
317 Saint Francis Dr
Ste 330
Greenville, SC 29601
Phone (864) 232-1636
317 Saint Francis Dr
Ste 170
Greenville, SC 29601
Phone (864) 255-1886
Interoperability endpoints
- nyatiyawela2492948@direct.bsmhealth.org
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1851049464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631341",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 SAINT FRANCIS DR STE 330",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013914",
"telephone_number": "864-335-7555",
"fax_number": "864-459-0877"
}
],
"practiceLocations": [
{
"address_1": "4350 US 421 S",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275466760",
"country_code": "US",
"telephone_number": "910-893-1210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "853 N Church St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033098",
"country_code": "US",
"telephone_number": "864-573-7511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATIYAWELA",
"first_name": "NIMESHIKA",
"middle_name": "WASANA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-13",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.