Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caitlin Elena Reveal, PA-C

Individual provider Physician Assistant · NPI 1104607597

Caitlin Elena Reveal, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2023, 3 years ago. Practices with Urology Associates of Charleston LLC, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835
Phone: (843) 402-5400
Fax: (843) 402-1163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (SC)

Record details

NPI number1104607597
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Urology Associates Of Charleston Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Charleston