Individual provider Active NPI

Elizabeth J Kirlis, MD

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1437126349
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23219 Issued in SC
Practice address
2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 573-2535
Fax
(843) 573-2534
NPI assigned
Mar 1, 2006
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23219 SC Primary

Addresses

Primary practice location

2051 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 573-2535

Other identifiers 1

IdentifierTypeStateIssuer
232199MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000413 SC Practitioner - Pediatric Medicine 3072559947 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23219SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
Coastal Pediatric Associates, P.a. Pediatrics CurrentSince Aug 1, 2014 Accepting new patients
Carolina Family Care, Inc Pediatrics Past Accepting new patients

Locations

2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 737-9467

2067 Charlie Hall Blvd
Charleston, SC 29414
Phone 8435732535 ext. 3215

776 Daniel Ellis Dr
Ste A
Charleston, SC 29412
Phone (843) 795-8100

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1952 Long Grove Dr
Ste 202
Mt Pleasant, SC 29464
Phone (843) 971-2992

2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 737-9465

Interoperability endpoints

  • Direct secure messaging: ekirlis27195@direct.musc.edu
  • Direct secure messaging: elizabeth.kirlis.1@1152.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1437126349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRLIS",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "23219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232199",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.