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

Individual provider Physician Assistant · NPI 1992001465

Courtney B Moldenhauer, PA-C is a Physician Assistant in N Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2010, 16 years ago. Practices with Trident Pain Center LLC, an 18-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2011
Specialties on file
2
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

9267 Medical Plaza Dr Ste G
N Charleston, SC 29406-9139
Phone: (843) 797-3636
Fax: (843) 797-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1930 Charlie Hall Blvd, Charleston, SC 29414-5837 — (843) 797-3636
  • 120 Highland Center Dr, Columbia, SC 29203-9127 — (843) 797-3636
  • 108 N Highway 52, Moncks Corner, SC 29461-3910 — (843) 797-3636
  • 205 Eddie Chasteen Dr, Walterboro, SC 29488-5728 — (843) 797-3636
  • 176 McSwain Dr, West Columbia, SC 29169-4825 — (843) 797-3636

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TL1621 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 1621 (SC)

Record details

NPI number1992001465
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2011
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 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 2010 (16 years in practice)
Group practice Trident Pain Center Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in N Charleston