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ANGEL OAK PEDIATRICS LLC
NPI 1265207229
Pediatrics in Johns Island, SC

Active since November 20, 2023CLIA 42D2298461 · Waiver
3312 MAYBANK HWY STE B, JOHNS ISLAND, SC 29455(843) 894-3490(833) 450-6022 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Nov 20, 2023 (2 updates tracked since 2023).

About Angel Oak Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL OAK PEDIATRICS LLC (NPI 1265207229) is a healthcare organization registered as a pediatrics in Johns Island, South Carolina and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Kelli E Johnston, Pediatrician/owner, as its authorized official.

NPPES Registry Identity

NPI1265207229
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANGEL OAK PEDIATRICS LLC
Location Address3312 MAYBANK HWY STE BJohns Island, SC 29455-4818
Mailing Address2911 Waterleaf RdJohns Island, SC 29455-3176 · (248) 760-4587
Phone(843) 894-3490
Fax(833) 450-6022
Organization SubpartNo
Authorized OfficialKelli E JohnstonPediatrician/owner · (248) 760-4587
Enumeration DateNovember 20, 2023
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1265207229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/CenterTaxonomy 261Q00000X
3312 MAYBANK HWY STE B, Johns Island, SC 29455
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2298461

Angel Oak Pediatrics · Johns Island, SC
Active · expires Feb 1, 2028
CLIA Number42D2298461
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorKelli E. Johnston
Laboratory Phone(843) 894-3490
Laboratory LocationAngel Oak Pediatrics3312 Maybank Hwy Ste B, Johns Island, SC 29455
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI ELIZABETH JOHNSTON D.O.
Pediatrics
3312 MAYBANK HWY STE B
JOHNS ISLAND, SC 29455
Charleston County (843) 894-3490
MS. CORI LYN ROGERS MSN, RN, CPNP
Nurse Practitioner (Pediatrics)
3312 MAYBANK HWY STE B
JOHNS ISLAND, SC 29455
Charleston County (843) 894-3490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Oak Pediatrics LLC's NPI number?

The NPI number for Angel Oak Pediatrics LLC is 1265207229. It was assigned to this organization in the NPPES registry on November 20, 2023.

Where is Angel Oak Pediatrics LLC located?

Angel Oak Pediatrics LLC is located at 3312 Maybank Hwy Ste B, Johns Island, SC 29455. The listed phone number is (843) 894-3490.

What is Angel Oak Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Angel Oak Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2298461) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Angel Oak Pediatrics LLC accept?

Health plans from First Choice Next list Angel Oak Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angel Oak Pediatrics LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.