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

Carly Cook Granata, PA-C

Individual provider Physician Assistant · NPI 1396219408

Carly Cook Granata, PA-C is a Physician Assistant in Mitchellville, Maryland. Practices as a sole proprietor and works from 3 locations. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

10236 Lake Arbor Way
Mitchellville, MD 20721-3113
Phone: (240) 436-2840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4901 Brambleton Ave, Roanoke, VA 24018-4149 — (540) 777-4000
  • 37 Glendale Ct, Troutville, VA 24175-6538 — (540) 355-1688

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007055 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0008389 (MD)

Record details

NPI number1396219408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJune 10, 2022
Certification dateMay 4, 2022

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