Liberty Doctors LLC DBA Ebb Tide Comprehensive Care
NPI 1588434245ActiveOrganization· Internal Medicine· Charleston, SC
Internal Medicine in Charleston, South Carolina, registered in NPPES in January 2024. The authorized official on file is Chelsey Dever, Credentialing Coordinator.
Overview
| NPI | 1588434245 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2024 |
| Last updated in NPPES | Dec 19, 2025 |
| Certified by provider | Dec 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Spec/Tech, Cardiovascular, Vascular Specialist | 246XC2903X | — | — |
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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