Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlan Walsh Tucker, PA

Individual provider Physician Assistant · NPI 1538718812

Caitlan Walsh Tucker, PA is a Physician Assistant in Greenville, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2019, 7 years ago. Practices with MUSC Affiliate Physicians, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
7
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

25 Creekview Ct
Greenville, SC 29615-4800
Phone: (864) 522-6300
Fax: (864) 522-6305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3348 (SC)
Physician Assistant Taxonomy 363A00000X (SC)

Record details

NPI number1538718812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 9, 2019
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Musc Affiliate Physicians — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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