Individual provider Active NPI

Kelly A Schibler, MD

  • Family Medicine Physician
  • Hilton Head Island, SC
National Provider Identifier
1932166923
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34080 Issued in SC
Practice address
2 Marshland Rd
Hilton Head Island, SC 29926-2305
Phone
(843) 842-6357
Fax
(843) 842-6352
NPI assigned
Apr 26, 2006
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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 34080 SC Primary

Addresses

Primary practice location

2 Marshland Rd
Hilton Head Island, SC 29926-2305

Mailing address

2 Marshland Rd
Hilton Head Island, SC 29926-2305
Phone (843) 842-6357

Other identifiers 2

IdentifierTypeStateIssuer
0207387MedicaidOH
34080OtherSCSTATE LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34080SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of the Lowcountry, LLC Family Medicine Past Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine Past Accepting new patients
Miami Valley Emergency Specialists, LLC Past Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelly.schibler.p194@direct.tenet.nextgenshare.com
  • Direct secure messaging: kellyschibler@jsmdpc.allscriptsdirect.net

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, 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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1932166923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARSHLAND RD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262305",
            "telephone_number": "843-842-6357",
            "fax_number": "843-842-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARSHLAND RD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262305",
            "telephone_number": "843-842-6357",
            "fax_number": "843-842-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIBLER",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "34080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207387",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34080",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.