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KELLI ELIZABETH JOHNSTON D.O.
NPI 1689797268
Pediatrics in Johns Island, SC

Active since April 09, 2007PECOS Enrolled
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: October 25, 2026.

Record update history: May 28, 2026, Oct 2, 2024 (2 updates tracked since 2024).

About Kelli Elizabeth Johnston D.o. NPPES

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

KELLI ELIZABETH JOHNSTON D.O. (NPI 1689797268) is an individual pediatrics provider in Johns Island, South Carolina, licensed in South Carolina (927) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689797268
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLI ELIZABETH JOHNSTONCredential: D.O.
Location Address3312 MAYBANK HWY STE BJohns Island, SC 29455-4818
Mailing Address2911 Waterleaf RdJohns Island, SC 29455-3176 · (843) 894-3490
Phone(843) 894-3490
Fax(833) 450-6022
Sole ProprietorNo
Enumeration DateApril 9, 2007
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1689797268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 927
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.
3312 MAYBANK HWY STE B, Johns Island, SC 29455
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Other Identifiers 1

Medicaid009270SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Elizabeth Johnston D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Johnston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Pediatric Associates, P.A.
6.1 mi
Pediatrics
2067 CHARLIE HALL BLVD
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1770700759 (843) 573-2535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANGEL OAK PEDIATRICS LLC
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 Kelli Johnston's NPI number?

The NPI number for Kelli Johnston is 1689797268. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Kelli Johnston located?

Kelli Johnston practices at 3312 Maybank Hwy Ste B, Johns Island, SC 29455. The listed phone number is (843) 894-3490.

What is Kelli Johnston's specialty?

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

Is Kelli Johnston enrolled in Medicare?

Yes. Kelli Johnston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Johnston reassigns Medicare benefits to Coastal Pediatric Associates, P.A. (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelli Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Johnston accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Kelli Johnston 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 Kelli Johnston 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 5 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.