NPIMap

Individual provider Active NPI

Paris A. R. Sellers, PA-C

  • Physician Assistant
  • Conover, NC
National Provider Identifier
1891210712
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07549 Issued in NC
Practice address
3521 Graystone PL SE Ste 202
Conover, NC 28613-8269
Phone
(828) 732-5700
Fax
(828) 732-5701
NPI assigned
Aug 11, 2017
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07549 NC Primary

Addresses

Primary practice location

3521 Graystone PL SE Ste 202
Conover, NC 28613-8269

Mailing address

3521 Graystone PL SE Ste 202
Conover, NC 28613-8269
Phone (828) 732-5700

Other identifiers 1

IdentifierTypeStateIssuer
TL3114OtherSCSC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211000636 NC Practitioner - Physician Assistant 2860750379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

105 S Main Ave B
Newton, NC 28658-3359
Phone (828) 732-5180

2712 S NC 127 Hwy
Hickory, NC 28602-9130
Phone (828) 732-5150

3511 Graystone PL SE
Conover, NC 28613-8201
Phone (828) 732-5600

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3114SCMDOccupational Therapy Assistant
0010-07549NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Center CurrentSince Jan 24, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Oct 3, 2017 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jan 24, 2022 Accepting new patients
Catawba Valley Medical Center CurrentSince Jan 24, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Oct 3, 2017 Accepting new patients
Carolina Cardiology Associates LLC PastSince Oct 25, 2025 Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: paris.robinson@cvmg.eclinicaldirectplus.com

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1891210712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 GRAYSTONE PL SE STE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138269",
            "telephone_number": "828-732-5700",
            "fax_number": "828-732-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 GRAYSTONE PL SE STE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138269",
            "telephone_number": "828-732-5700",
            "fax_number": "828-732-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "PARIS",
        "middle_name": "A. R.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "TL3114",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.