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

Kalley Rae Headley, PA-C

Individual provider Surgical Physician Assistant · NPI 1659843803

Kalley Rae Headley, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2018, 8 years ago. Practices with Trident Dermatology PA, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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

9295 Medical Plaza Dr Unit A-B
Charleston, SC 29406-9137
Phone: (215) 692-2403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1659843803
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2018
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Trident Dermatology Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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