NPIMap

Individual provider Active NPI

Ann Gregory Kelly, M.D.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1104270651
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84489 Issued in SC
Practice address
418 Folly Rd Ste a
Charleston, SC 29412-2625
Phone
(843) 795-5362
Fax
(843) 795-1921
NPI assigned
Apr 21, 2016
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84489 SC Primary

Addresses

Primary practice location

418 Folly Rd Ste a
Charleston, SC 29412-2625

Mailing address

418 Folly Rd Ste a
Charleston, SC 29412-2625
Phone (843) 795-5362

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
I20200908002103 SC Practitioner - Family Practice 8224328588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

1200 Two Island CT
Unit E
Mt Pleasant, SC 29466-7418
Phone (854) 444-7676

418 Folly Rd
Ab
Charleston, SC 29412-2625
Phone (843) 225-8320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
Liberty Doctors LLC Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Past Accepting new patients

Locations

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

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

710 Rabon Rd
Ste 203
Columbia, SC 29203
Phone (803) 274-6166

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

1200 Two Island Ct
Unit E
Mt Pleasant, SC 29466
Phone (843) 849-1300

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

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440

3020 Sunset Blvd
Ste 101
West Columbia, SC 29169
Phone (803) 791-5680

Interoperability endpoints

  • Direct secure messaging: ann.kelly.1@18006.direct.athenahealth.com
  • Direct secure messaging: ann.kelly@ppcp1.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 6

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1104270651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122625",
            "telephone_number": "843-795-5362",
            "fax_number": "843-795-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122625",
            "telephone_number": "843-795-5362",
            "fax_number": "843-795-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANN",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "84489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.