Individual provider Active NPI

Caitlin Elena Reveal, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1104607597
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835
Phone
(843) 402-5400
Fax
(843) 402-1163
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X SC Primary

Addresses

Primary practice location

1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835

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
I20231130000273 SC Practitioner - Physician Assistant 1153779236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Charleston LLCGroup PAC ID 4082079496, 10 clinicians
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

1122 Chuck Dawley Blvd
Suite 200
Mt Pleasant, SC 29464-4183
Phone (843) 884-8045

1470 Tobias Gadson Blvd
Suite 110
Charleston, SC 29407-4835
Phone (843) 402-1301

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

2093 Henry Tecklenburg Dr
Suite 318E
Charleston, SC 29414-5741
Phone (843) 884-8045

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426

300 Callen Blvd
Summerville, SC 29486-2816

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

3510 Highyway 17
Mt Pleasant, SC 29466-8227
Phone (843) 789-1800

3510 Hwy 17 N
Mt Pleasant, SC 29466-8227

3510 Hwy 17 N 325
Charleston Urology Associates
Mt Pleasant, SC 29466-8227
Phone (843) 884-8045

3510 Hwy 17 North 110
Mt. Pleasant, SC 29466-8227
Phone (843) 958-1281

8950 University Blvd
Suite 300
North Charleston, SC 29406-9889
Phone (843) 720-8369

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

Merit-based Incentive Payment System (MIPS)

Final score
69.85 of 100Reported as group
Quality
78.57
Improvement activities
20
Cost
78.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Oct 20, 2025 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 20, 2025 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2093 Henry Tecklenburg Dr
#318E
Charleston, SC 29414

1470 Tobias Gadson Blvd
Ste 110
Charleston, SC 29407
Phone (843) 402-1301

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

3510 N Highway 17
Ste 110
Mt Pleasant, SC 29466
Phone (843) 402-1301

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

8950 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 402-1766

300 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 720-8369

Interoperability endpoints

  • Direct secure messaging: creveal1528841@direct.bsmhealth.org

Organizations & group practices 6

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1104607597",
    "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": "1470 TOBIAS GADSON BLVD STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074835",
            "telephone_number": "843-402-5400",
            "fax_number": "843-402-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVEAL",
        "first_name": "CAITLIN",
        "middle_name": "ELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.