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

Individual provider Physician Assistant · NPI 1023426921

Carita Kiely Penno, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2014, 12 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2014
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

1014 Saint Andrews Blvd
Charleston, SC 29407-7177
Phone: (843) 556-5585
Fax: (843) 556-5587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 — (843) 881-0815
  • 7519 Rivers Ave, North Charleston, SC 29406-4662 — (843) 735-5020
  • 306 Station 22 1/2 St, Sullivans Island, SC 29482-9756 — (843) 883-3176

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2140 (SC)

Record details

NPI number1023426921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2014
Last updated in NPPESNovember 3, 2024
Certification dateNovember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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