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

Carly Siemianowski

Individual provider Physician Assistant · NPI 1932848173

Carly Siemianowski is a Physician Assistant in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2022, 4 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2 Medical Park Rd Ste 300
Columbia, SC 29203-6839
Phone: (803) 434-8800
Fax: (803) 434-8802
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4450 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1932848173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Columbia