Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Fellis, PA

Individual provider Physician Assistant · NPI 1013505940

Lisa Fellis, PA is a Physician Assistant in North Augusta, South Carolina. Works from 2 locations. Licensed in Florida and South Carolina.

Licensed in
FL, SC
In the registry since
2021
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1200 Talisman Dr
North Augusta, SC 29841-4032
Phone: (800) 226-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 — (800) 226-8874

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4964 (SC)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA9113743 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9113743 (FL)

Record details

NPI number1013505940
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

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