CARLY COOK GRANATA PA-C
NPI 1396219408
Physician Assistant in Mitchellville, MD
About Carly Cook Granata Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY COOK GRANATA PA-C (NPI 1396219408) is an individual physician assistant in Mitchellville, Maryland, licensed in Virginia (0110007055) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Cook Granata Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOWIE, MD 20721
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Granata's NPI number?
The NPI number for Carly Granata is 1396219408. It was assigned to this individual provider in the NPPES registry on January 11, 2019. The provider is also known as Carly Jane Cook Pa-C.
Where is Carly Granata located?
Carly Granata practices at 10236 Lake Arbor Way, Mitchellville, MD 20721. The listed phone number is (240) 436-2840.
What is Carly Granata's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carly Granata enrolled in Medicare?
Yes. Carly Granata is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carly Granata was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.