Individual provider Active NPI

Carly Pence Runey, PA-C

  • Medical Physician Assistant
  • Charleston, SC
National Provider Identifier
1043685522
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2464 Issued in SC
Practice address
2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894
Phone
(843) 723-8823
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2464 SC Primary

Addresses

Primary practice location

2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001142 SC Practitioner - Physician Assistant 6002112323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2145 Henry Tecklenburg Dr
Charleston, SC 29414-5894

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2464SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialists of Charleston PA CurrentSince Jan 2, 2016 Accepting new patients
Pain Specialists of Charleston CurrentSince Jan 2, 2016 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 29, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 29, 2022 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957

2145 Henry Tecklenburg Dr
Ste 220
Charleston, SC 29414
Phone (843) 958-2555

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

Interoperability endpoints

  • Direct secure messaging: cruney1324490@direct.bsmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1043685522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 HENRY TECKLENBURG DR STE 220",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145894",
            "telephone_number": "843-723-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNEY",
        "first_name": "CARLY",
        "middle_name": "PENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.