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

Carly St Clair, PA-C

Individual provider Physician Assistant · NPI 1104602838

Carly St Clair, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2023, 3 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

30 E Apple St
Dayton, OH 45409-2939
Phone: (937) 208-3220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104602838
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2023
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing address30 E Apple St, Dayton, OH 45409-2939

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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