Individual provider Active NPI

Casey Anna Wetherell, PA

  • Medical Physician Assistant
  • Summerville, SC
National Provider Identifier
1841052008
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1201406 Issued in SC
Practice address
435 N Cedar St
Summerville, SC 29483-6407
Phone
(843) 476-4702
Fax
(843) 476-4290
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1201406 SC Primary

Addresses

Primary practice location

435 N Cedar St
Summerville, SC 29483-6407

Mailing address

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447
Phone (843) 476-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240319003114 SC Practitioner - Physician Assistant 3870930449 Reassigns benefits to 1 organization
I20241014003770 SC Practitioner - Pain Management 3870930449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Coast Spine and Pain Specialists LLCGroup PAC ID 9133515661, 3 clinicians

Practice addresses (Care Compare)

435 N Cedar St
Summerville, SC 29483-6407
Phone (843) 505-6486

Hospital & facility affiliations

  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5092SCMDSpeech-Language Pathologist
1201406SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coast Spine and Pain Specialists LLC CurrentSince Jul 19, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 1, 2024 Accepting new patients

Locations

1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

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

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Interoperability endpoints

  • Direct secure messaging: cwetherell617885@direct.ghs.myhfn.org

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.

Hospital & facility affiliations 1

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1841052008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4720",
            "fax_number": "843-476-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N CEDAR ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836407",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERELL",
        "first_name": "CASEY",
        "middle_name": "ANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1201406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.