Liberty Doctors LLC D/B/a Family First Medical Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22266 Issued in SC

Legal business name

LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE

Practice address

2270 Ashley Crossing Dr Ste 150
Charleston, SC 29414-5702

Phone

(843) 766-1936

Fax

(843) 766-1206

NPI assigned

Aug 8, 2006

Last updated

Sep 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Maynor-Hardy

Title

Credentialing Coordinator

Phone

(843) 225-8320

Specialties & licenses 5

Addresses

Other identifiers 8

Other names 1

• Health Care Consultants of Charleston Former legal business name

Practitioners 5

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.

• Daniel C Bates, M.D.

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1326117532
  NPD (past)
• Amelia C Fairfax, MD

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1629147848
  NPD (past)
• Randi Katherine Popp, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1093793424
  NPD (past)
• Joy Blanton Scurry, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1760560288
  NPD (past)
• Elizabeth T Whirrett, MD

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1962502211
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1417967092",
    "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": "2270 ASHLEY CROSSING DR STE 150",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145702",
            "telephone_number": "843-766-1936",
            "fax_number": "843-766-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "MAYNOR-HARDY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "843-225-8320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22266",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21948",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "24446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "6385",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "5942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B1015",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "247743969",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3158",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194667",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "280508389",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "257064675",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "400560049",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "247253076",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Consultants of Charleston",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laura Rose Libassi
• Hailey Beth Libengood, PA-C
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• Liberty Doctors, LLC (Hugh D. Durrence, MD, PC (Site NPI))
• Liberty Sleep Associates, LLC
• Alice Q Libet, PHD

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.