Individual provider Active NPI

Caitlyn Risley Salley, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1689346611
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4835 Issued in SC
Practice address
1033 Saint Andrews Blvd
Charleston, SC 29407-7156
Phone
(843) 723-6111
NPI assigned
Sep 28, 2021
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X GA
Physician Assistant 363A00000X 4835 SC Primary

Addresses

Primary practice location

1033 Saint Andrews Blvd
Charleston, SC 29407-7156

Mailing address

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

Other practice location 1

2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815
Phone (803) 744-4900

Other names 1

  • Caitlyn Joan Risley Former name

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
I20230526002559 SC Practitioner - Physician Assistant 5698132124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
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

2093 Henry Tecklenburg Dr
Charleston, SC 29414-5743

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

300 Callen Blvd
Summerville, SC 29486-2809

306 Station 22
Sullivans Island, SC 29482-9756
Phone (843) 883-3176

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

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

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

615 Wesley Dr
Charleston, SC 29407-7274

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

State licenses

LicenseStateTypeSpecialty
4835SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince May 15, 2023 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 7, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 15, 2023 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 7, 2024 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

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

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

5325 Appian Way
Charleston, SC 29420
Phone (843) 552-0400

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

115 Executive Pkwy
Moncks Corner, SC 29461
Phone (843) 761-2815

401 N Live Oak Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 761-7884

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

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 851-2000

300 W 4th North St
Summerville, SC 29483
Phone (843) 285-7515

435 N Cedar St
Summerville, SC 29483
Phone (843) 873-1592

507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600

809 N Cedar St
Summerville, SC 29483
Phone (843) 871-9440

Interoperability endpoints

  • Direct secure messaging: csalley2707574@direct.bsmhealth.org

Organizations & group practices 8

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1689346611",
    "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",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077156",
            "telephone_number": "843-723-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2728 Sunset Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694815",
            "country_code": "US",
            "telephone_number": "803-744-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "CAITLYN",
        "middle_name": "RISLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "RISLEY",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.