Individual provider Active NPI

Caitlin Wilburn, PA-C

  • Physician Assistant
  • Ladson, SC
National Provider Identifier
1871968719
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3057 Issued in SC
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

Updated by the provider on Sep 14, 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 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

IdentifierTypeStateIssuer
3768PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160210000484 GA Practitioner - Physician Assistant 8325342470 Reassigns benefits to 1 organization
I20181127001568 SC Practitioner - Physician Assistant 8325342470 Reassigns benefits to 3 organizations
I20260429003949 KY Practitioner - Physician Assistant 8325342470 Reassigns benefits to 1 organization

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
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

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

LicenseStateTypeSpecialty
7817GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Jan 1, 2026 Accepting new patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Nov 23, 2020 Accepting new patients
Pain Specialists of Charleston CurrentSince Sep 28, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Feb 26, 2016 Accepting new patients
Pain Specialists of Charleston PA CurrentSince Sep 28, 2022 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.