NPIMap

Organization Active NPI

Liberty Doctors LLC

Doing business as Patricia A Campbell MD

  • Family Medicine Physician
  • Goose Creek, SC
National Provider Identifier
1184169799
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
016192 Issued in SC
Legal business name
LIBERTY DOCTORS LLC
Doing business as
Patricia A Campbell MD
Springhall Family Practice
Practice address
110A Springhall Dr
Goose Creek, SC 29445-5335
Phone
(843) 973-8503
Fax
(843) 990-5068
NPI assigned
Jan 5, 2017
Organization subpart
Yes
Parent organization
LIBERTY DOCTORS, LLCAs reported in NPPES

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 016192 SC Primary

Addresses

Primary practice location

110A Springhall Dr
Goose Creek, SC 29445-5335

Mailing address

PO Box 13955
Charleston, SC 29422-3955
Phone (843) 225-8320

Other identifiers 3

IdentifierTypeStateIssuer
GP6738MedicaidSC
161924MedicaidSC
A634OtherSCMEDICARE PIN

Other names 2

  • Patricia A Campbell MD Doing business as
  • Springhall Family Practice Doing business as

National Provider Directory

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

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1184169799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-225-8320",
            "fax_number": "843-225-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110A SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-973-8503",
            "fax_number": "843-990-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DOCTORS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY DOCTORS, LLC",
        "enumeration_date": "2017-01-05",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "016192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6738",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161924",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "A634",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia A Campbell MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springhall Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goose Creek, 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.