Liberty Doctors LLC
NPI 1558928614ActiveOrganization· Pediatrics· Charleston, SC
Pediatrics in Charleston, South Carolina, registered in NPPES in May 2019, part of Liberty Doctors LLC. The authorized official on file is Chelsey Dever, Credentialing Coordinator.
Overview
| NPI | 1558928614 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Doctors LLC |
| NPI issued | May 23, 2019 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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