Individual provider Active NPI

Whitney Brooke Putillion, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1134526825
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2240 Issued in SC
Practice address
1033 Saint Andrews Blvd Ste 600
Charleston, SC 29407-7156
Phone
(843) 723-6111
Fax
(843) 727-2973
NPI assigned
Nov 25, 2014
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 2240 SC Primary

Addresses

Primary practice location

1033 Saint Andrews Blvd Ste 600
Charleston, SC 29407-7156

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2064PAMedicaidSC

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
I20150128001057 SC Practitioner - Physician Assistant 1557685278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1033 Saint Andrews Blvd
Charleston, SC 29407-7156
Phone (843) 534-1770

200 Callen Blvd
Suite 220
Summerville, SC 29486-2808
Phone (843) 723-6111

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

300 Callen Blvd
Summerville, SC 29486-2809

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

3508 S Live Oak Dr
Moncks Corner, SC 29461-8737
Phone (843) 789-1800

897 Von Kolnitz Rd
Suite 101
Mt Pleasant, SC 29464-3630
Phone (843) 723-6111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 31, 2023 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 31, 2023 Accepting new patients
McLeod Physician Associates II Past Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

1033 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 534-1770

1033 Saint Andrews Blvd
Ste 600
Charleston, SC 29407

2093 Henry Tecklenburg Dr
Ste 307E
Charleston, SC 29414
Phone (843) 207-1760

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

897 Von Kolnitz Rd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 534-1770

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

200 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 534-1770

Interoperability endpoints

  • Direct secure messaging: wputillion1251706@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1134526825",
    "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": "1033 SAINT ANDREWS BLVD STE 600",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077156",
            "telephone_number": "843-723-6111",
            "fax_number": "843-727-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTILLION",
        "first_name": "WHITNEY",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.