NPIMap

Individual provider Active NPI

Kyle Libbey, MD

  • Adolescent Medicine (Family Medicine) Physician
  • N Charleston, SC
National Provider Identifier
1033620943
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
90431 Issued in GA
Practice address
9313 Medical Plaza Dr Ste 202
N Charleston, SC 29406-9176
Phone
(843) 572-1200
Fax
(843) 553-0424
NPI assigned
Oct 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Adolescent Medicine (Family Medicine) Physician 207QA0000X 90431 GA Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 202
N Charleston, SC 29406-9176

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other identifiers 1

IdentifierTypeStateIssuer
889417MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221029000159 SC Practitioner - Family Practice 7911374236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

9313 Medical Plaza Dr
Suite 202
North Charleston, SC 29406-9176
Phone (843) 695-6071

Hospital & facility affiliations

  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Centerwell Home Health Home health agency, North Charleston, SC, CCN 427035
  • Medical Services of America Home Health - Coastal Home health agency, Myrtle Beach, SC, CCN 427025
  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 24, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 24, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

Interoperability endpoints

  • Direct secure messaging: kyle.libbey@ppcp1.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1033620943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 202",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069176",
            "telephone_number": "843-572-1200",
            "fax_number": "843-553-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBEY",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "GA",
            "license": "90431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889417",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.