Active NPI
Caitlin Elena Reveal, PA-C
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Roper Hospital
- Roper St Francis Hospital-Berkeley Inc
- Mount Pleasant Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.85 of 100
- Quality
- 78.57
- Improvement activities
- 20
- Cost
- 78.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper St. Francis Specialty Physicians | Physician Assistant | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | 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
- 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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Urology Physician
- Mount Pleasant, SC
- NPI 1699474205
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
Physician Assistant
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Charleston, SC
- NPI 1770202400
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.