Active NPI
Caitlin Ann McCormick, ARNP
- Primary Care Nurse Practitioner
- Branford, CT
National Provider Identifier
1417598186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1102882
- Practice address
- 1204 Main St Ste 576
Branford, CT 06405-3787 - Phone
- (844) 359-8363
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1102882 | FL | Primary |
Addresses
Primary practice location
1204 Main St Ste 576
Branford, CT 06405-3787
Mailing address
601 N 12TH St Apt 201
Tampa, FL 33602-3194
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23158 | SC | MD | Gynecology Physician |
| 1102882 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PH Health Care Services Inc | Current | Accepting new patients | |
| Medcare Urgent Care Center - Anderson LLC | Current | Accepting new patients | |
| Medcare Express - North Charleston LLC | Current | Accepting new patients |
Locations
8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1689004095
-
- Community Based Hospice Care Agency
- Easley, SC
- NPI 1134491616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1417598186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N 12TH ST APT 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 MAIN ST STE 576",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053787",
"telephone_number": "844-359-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "CAITLIN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "1102882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.