Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Paige Romaniuk, PA-C

Individual provider Physician Assistant · NPI 1184290108

Mallory Paige Romaniuk, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2021, 5 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
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

14 Richland Medical Park Dr Ste 200
Columbia, SC 29203-6882
Phone: (803) 296-6882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2621 — (617) 726-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4103 (SC)

Record details

NPI number1184290108
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 1, 2021
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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 Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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