Active NPI
Carlyn Gibbs
- Speech-Language Pathologist
- North Charleston, SC
National Provider Identifier
1376462341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9674
- Practice address
- 4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594 - Phone
- (843) 894-7374
- NPI assigned
- Jul 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9674 | SC | Primary |
Addresses
Primary practice location
4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594
Mailing address
124 John Preston Dr
Lexington, SC 29072-7714
Phone (803) 239-7207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidscare Home Health of South Carolina, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- North Charleston, SC
- NPI 1942952932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1376462341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 JOHN PRESTON DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727714",
"telephone_number": "803-239-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 FABER PLACE DR STE 420",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058594",
"telephone_number": "843-894-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "CARLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "9674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.