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

Zachary James Revert, PA-S

Individual provider Physician Assistant · NPI 1134846876

Zachary James Revert, PA-S is a Physician Assistant in Trenton, South Carolina. Qualified in 2023, 3 years ago. Practices with Urology Specialists of the Carolinas PLLC, a 75-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022

Practice location Address checks out

181 Courtney Rd
Trenton, SC 29847-3103
Phone: (803) 275-7034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1134846876
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

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 Specialists Of The Carolinas Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare