Liberty Doctors, LLC
NPI 1508928656ActiveOrganization· Family Medicine· North Charleston, SC
Family Medicine in North Charleston, South Carolina, registered in NPPES in December 2006, part of Liberty Doctors, LLC. The authorized official on file is Chelsey Dever, Credentialing Coordinator.
Overview
| NPI | 1508928656 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Doctors, LLC |
| NPI issued | Dec 15, 2006 |
| Last updated in NPPES | Oct 24, 2023 |
| Certified by provider | Oct 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Specialist | 174400000X | 17172 | 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
- 1376854406
- 1821443896