| NPI | 1184169799 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-01-05 |
| Last Updated | 2025-12-15 |
| Authorized Official | Chelsey Dever Credentialing Coordinator Phone: 8432258320 |
| Mailing Address | Po Box 13955 Charleston, SC 29422-3955 United States Phone: (843) 225-8320 | Fax: (843) 225-3549 📍 View Map |
| Primary Practice Address | 110a Springhall Dr Goose Creek, SC 29445-5335 United States Phone: (843) 973-8503 | Fax: (843) 990-5068 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | SC | 161924 | - |
| Other (non-Medicare) | SC | A634 | Medicare PIN |
| MEDICAID | SC | GP6738 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | SC | 016192 |
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About NPI 1184169799
Liberty Doctors Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1184169799. The primary specialty listed is Family Medicine. The organization is located in Goose Creek, SC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-01-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184169799?
NPI 1184169799 belongs to Liberty Doctors Llc, a Family Medicine in Goose Creek, SC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184169799 active?
The current status of NPI 1184169799 in the NPPES registry is Active. The record was last updated on 2025-12-15.
What specialty is NPI 1184169799?
NPI 1184169799 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184169799?
You can verify NPI 1184169799 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184169799?
The primary practice address on file for NPI 1184169799 is 110a Springhall Dr, Goose Creek, SC 29445-5335. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184169799 issued?
NPI 1184169799 was first issued (enumerated) on 2017-01-05. The NPPES record was last updated on 2025-12-15.
Practice Location Map
Liberty Doctors Llc is located at 110a Springhall Dr, Goose Creek, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Liberty Doctors Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184169799. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 016192 | SC |