Liberty Doctors, LLC
NPI 1376854406ActiveOrganization· Family Medicine· North Charleston, SC
Family Medicine in North Charleston, South Carolina, registered in NPPES in June 2010, part of Liberty Doctors, LLC. The authorized official on file is Chelsey Dever, Credentialing Coordinator.
Overview
| NPI | 1376854406 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Doctors, LLC |
| NPI issued | Jun 23, 2010 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | SC |
| Family Medicine, Geriatric Medicine | 207QG0300X | 27193 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in North Charleston
- 1871878595
- 1104209477
- 1194152272
- 1790319408
- 1205175213
- 1013396027
- 1003265828
- 1487687448
- 1235434713
- 1760083562
- 1508928656
- 1821443896