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

Lisa Lynn Carder

Individual provider Physician Assistant · NPI 1366065500

Lisa Lynn Carder is a Physician Assistant in Greenville, South Carolina. Qualified in 2021, 5 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Licensed in
NC, SC
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

48 Centennial Way
Greenville, SC 29605-4662
Phone: (864) 522-8000
Fax: (864) 522-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 — (864) 982-7913
  • 335 W College Ave # B, Shelby, NC 28152-8111 — (864) 982-7913

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5353 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11520 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1366065500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greenville