NPIMap

Organization Active NPI

Liberty Doctors LLC

Doing business as Hope Clinic LLC

  • Internal Medicine Physician
  • Moncks Corner, SC
National Provider Identifier
1144299470
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20234 Issued in SC
Legal business name
LIBERTY DOCTORS LLC
Doing business as
Hope Clinic LLC
Practice address
110 Executive Pkwy
Moncks Corner, SC 29461-3930
Phone
(843) 899-9099
Fax
(888) 318-5567
NPI assigned
Mar 17, 2006
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chelsey Dever
Title
Credentialing Coordinator
Phone
(843) 225-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20234 SC Primary

Addresses

Primary practice location

110 Executive Pkwy
Moncks Corner, SC 29461-3930

Mailing address

110 Executive Pkwy
Moncks Corner, SC 29461-3930
Phone (843) 408-4171

Other identifiers 2

IdentifierTypeStateIssuer
202346MedicaidSC
4225947OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HOPE CLINIC LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Liberty Doctors LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1144299470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PKWY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613930",
            "telephone_number": "843-408-4171",
            "fax_number": "888-318-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PKWY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613930",
            "telephone_number": "843-899-9099",
            "fax_number": "888-318-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "DEVER",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "843-225-8320"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202346",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4225947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE CLINIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.