GEOFFREY CARLSON PA
NPI 1417990904
Physician Assistant - Medical in Clinton, SC

Q: What is Geoffrey Carlson's NPI number?

The NPI number for Geoffrey Carlson is 1417990904. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Geoffrey Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Geoffrey Carlson was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

210 S BROAD ST, CLINTON, SC 29325(864) 833-0973(864) 241-9290 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Dec 24, 2015 (2 updates tracked since 2015).

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About Geoffrey Carlson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEOFFREY CARLSON PA (NPI 1417990904) is an individual medical provider in Clinton, South Carolina, licensed in South Carolina (5248) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Laurens County Hospital, and maintains a secondary practice location in Blandon.

NPPES Registry Identity

NPI1417990904

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGEOFFREY CARLSONCredential: PA

Location Address210 S BROAD STClinton, SC 29325-2505

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(864) 833-0973

Fax(864) 241-9290

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1417990904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in SC · 5248✔ Licensed in PA · OA000359L

210 S BROAD ST, Clinton, SC 29325

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Secondary Practice Location 1

Location 111 Ingot DrBlandon, PA 19510-9639 · Phone (610) 944-5555 · Fax (610) 944-5551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Geoffrey Carlson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284777970

PECOS Enrollment IDI20240705001046

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services57 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services45 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

49 services49 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

25 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Laurens County Hospital

Acute Care Hospitals · Clinton, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420038

Location22725 Highway 76 EastClinton, SC 29325 · Laurens County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers26 claims72 services$4.94 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$88.97 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers17 claims2,602 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers13 claims13 services$23.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA P MOORE

Nurse Practitioner (Family)