Individual provider Active NPI

Caitlin Elizabeth McGougan, PA

  • Physician Assistant
  • Anderson, SC
National Provider Identifier
1619508637
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3460 Issued in SC
Practice address
1501 E Greenville St
Anderson, SC 29621-2004
Phone
(972) 231-3162
NPI assigned
Jan 29, 2020
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 3460 SC Primary

Addresses

Primary practice location

1501 E Greenville St
Anderson, SC 29621-2004

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcgougan193303@direct-srhs.et0939.epichosted.com Direct

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
I20200317001104 SC Practitioner - Physician Assistant 3577991009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians
Rejuven Joint CareGroup PAC ID 1355739384, 2 clinicians

Practice addresses (Care Compare)

1501 E Greenville St
Anderson, SC 29621-2004
Phone (872) 231-3162

242 Adley Way
Greenville, SC 29607-6511
Phone (864) 203-5715

Merit-based Incentive Payment System (MIPS)

Final score
49.78 of 100Reported as group
Quality
24.65
Promoting interoperability
82
Improvement activities
0
Cost
72.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3460SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Feb 1, 2026 Accepting new patients
Rejuven Joint Care CurrentSince Mar 15, 2024 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

1501 E Greenville St
Anderson, SC 29621
Phone (864) 226-8356

1137 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 720-5665

242 Adley Way
Greenville, SC 29607
Phone (864) 203-5715

437 Cambridge Ave E
Greenwood, SC 29646
Phone (864) 223-1950

365 E Blackstock Rd
#C
Spartanburg, SC 29301
Phone (864) 203-5715

Interoperability endpoints

  • Direct secure messaging: cmcgougan193303@direct-srhs.et0939.epichosted.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1619508637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212004",
            "telephone_number": "972-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOUGAN",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcgougan193303@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cmcgougan193303@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.