Active NPI
Caitlin Wilburn, PA-C
- Physician Assistant
- Ladson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3057
- Practice address
- 9404 Highway 78 Ste 100
Ladson, SC 29456-3909 - Phone
- (843) 737-0437
- Fax
- (843) 789-3053
- NPI assigned
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7817 | GA | |
| Physician Assistant | 363A00000X | 3057 | SC | Primary |
Addresses
Primary practice location
9404 Highway 78 Ste 100
Ladson, SC 29456-3909
Mailing address
9404 Highway 78 Ste 100
Ladson, SC 29456-3909
Phone (502) 855-7200
Other practice location 1
7021 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 791-7175
Other practice location 2
10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554
Phone (864) 295-6399
Other practice location 3
805 Montague Ave
Greenwood, SC 29649-1471
Phone (502) 855-7200
Other practice location 4
279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053
Other practice location 5
127 Ben Casey Dr
Fort Mill, SC 29708-6599
Phone (502) 855-7200
Other practice location 6
1506 N Fant St
Anderson, SC 29621-4708
Phone (864) 260-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3768PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7817 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates PLLC | Current | Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Physician Assistant | Current | Accepting new patients |
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Pain Specialists of Charleston | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Pain Specialists of Charleston PA | Current | Accepting new patients | |
| St Josephs Candler Urgent Care Centers LLC | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945
361 Commercial Dr
#F
Savannah, GA 31406
Phone (912) 355-2400
361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
1506 N Fant St
Anderson, SC 29621
Phone (864) 260-6995
3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533
7021 Saint Andrews Rd
Ste 1
Columbia, SC 29212
Phone (803) 749-7751
127 Ben Casey Dr
Ste 103
Fort Mill, SC 29708
Phone (502) 885-7200
10 Enterprise Blvd
Ste 201
Greenville, SC 29615
Phone (864) 234-7815
805 Montague Ave
Greenwood, SC 29649
9404 Highway 78
Ste 100
Ladson, SC 29456
Phone (843) 737-0437
2695 Elms Plantation Blvd
North Charleston, SC 29406
Phone (843) 818-1181
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181
279 E Kennedy St
Spartanburg, SC 29302
Phone (864) 583-0053
Interoperability endpoints
- caitlin.wilburn.1@14377.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Physician Assistant, SC
-
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Interventional Pain Medicine Physician
- North Charleston, SC
- NPI 1760636856
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Interventional Pain Medicine Physician
- Pawleys Island, SC
- NPI 1376218404
-
- Urgent Care Clinic/Center
- Bluffton, SC
- NPI 1902468697
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1871968719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404 HIGHWAY 78 STE 100",
"city": "LADSON",
"state": "SC",
"postal_code": "294563909",
"telephone_number": "502-855-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9404 HIGHWAY 78 STE 100",
"city": "LADSON",
"state": "SC",
"postal_code": "294563909",
"telephone_number": "843-737-0437",
"fax_number": "843-789-3053"
}
],
"practiceLocations": [
{
"address_1": "7021 Saint Andrews Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121177",
"country_code": "US",
"telephone_number": "803-791-7175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Enterprise Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296153554",
"country_code": "US",
"telephone_number": "864-295-6399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "805 Montague Ave",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296491471",
"country_code": "US",
"telephone_number": "502-855-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "279 E Kennedy St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293021912",
"country_code": "US",
"telephone_number": "864-583-0053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 Ben Casey Dr",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297086599",
"country_code": "US",
"telephone_number": "502-855-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1506 N Fant St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296214708",
"country_code": "US",
"telephone_number": "864-260-6995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILBURN",
"first_name": "CAITLIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "7817",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3768PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.