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

Geoffrey Carlson, PA

Individual provider Medical Physician Assistant · NPI 1417990904

Geoffrey Carlson, PA is a Physician Assistant in Clinton, South Carolina. Qualified in 1997, 29 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and South Carolina.

Years since qualifying
29
Licensed in
PA, SC
In the registry since
2006
Specialties on file
2
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

210 S Broad St
Clinton, SC 29325-2505
Phone: (864) 833-0973
Fax: (864) 241-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Ingot Dr, Blandon, PA 19510-9639 — (610) 944-5555

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5248 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA000359L (PA)

Record details

NPI number1417990904
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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