PARKWOOD PEDIATRIC GROUP PA
NPI 1659521201
Pediatrics in Charleston, SC

Q: What is Parkwood Pediatric Group PA's NPI number?

The NPI number for Parkwood Pediatric Group PA is 1659521201. It was assigned to this organization in the NPPES registry on September 19, 2008.

Q: What is Parkwood Pediatric Group PA's specialty?

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

Active since September 19, 2008CLIA 42D0250784 · Certificate of Compliance

1243 SAVANNAH HWY, CHARLESTON, SC 29407(843) 556-8110(843) 556-8112 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Parkwood Pediatric Group Pa NPPES

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

PARKWOOD PEDIATRIC GROUP PA (NPI 1659521201) is a healthcare organization registered as a pediatrics in Charleston, South Carolina and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2027 and lists Charles W Kisabeth, Physician, as its authorized official.

NPPES Registry Identity

NPI1659521201

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePARKWOOD PEDIATRIC GROUP PA

Location Address1243 SAVANNAH HWYCharleston, SC 29407-7817

Mailing Address1243 Savannah HwyCharleston, SC 29407-7817 · (843) 556-8110 · Fax (843) 556-8112

Phone(843) 556-8110

Fax(843) 556-8112

Organization SubpartNo

Authorized OfficialCharles W KisabethPhysician · (843) 266-7636

Enumeration DateSeptember 19, 2008

✔ NPI 1659521201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1243 SAVANNAH HWY, Charleston, SC 29407

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 Compliance 42D0250784

Parkwood Pediatric Group · Charleston, SC

Active · expires Apr 27, 2027

CLIA Number42D0250784

Laboratory TypePhysician Office

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorLauren S. Tipton

Laboratory Phone(843) 556-8110

Laboratory LocationParkwood Pediatric Group1483 Tobias Gadson Blvd, Suite 109, Charleston, SC 29407

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

MALCOLM RHODES MD

Pediatrics