Individual provider Active NPI

Kelly Christine Havig-Lipke, M.D.

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1780639674
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15534 Issued in SC
Practice address
2067 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 573-2535
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 15534 SC Primary

Addresses

Primary practice location

2067 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

PO Box 602108
Charlotte, NC 28260-2108

Other identifiers 1

IdentifierTypeStateIssuer
GP3214MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

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
I20210526002020 SC Practitioner - Pediatric Medicine 9537568456 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15534SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pediatric Associates, P.a. Pediatrics CurrentSince Jun 1, 2021 Accepting new 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
Seacoast Pediatrics Legal Medicine Past Accepting new patients
Carolina Family Care, Inc Pediatrics PastSince Jun 1, 2021 Accepting new patients

Locations

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

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

776 Daniel Ellis Dr
Ste 2A
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) 573-2535

2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 573-2535

Interoperability endpoints

  • Direct secure messaging: kelly.havig-lipke.1@1152.direct.athenahealth.com
  • Direct secure messaging: direct@direct.musc.edu
  • Direct secure messaging: khaviglipke26873@direct.musc.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1780639674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-573-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVIG-LIPKE",
        "first_name": "KELLY",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "15534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3214",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2067 Charlie Hall Blvd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.