Active NPI
Moriah Lieberman
- Physician Assistant
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1831 N Belcher Rd Ste D2
Clearwater, FL 33765-1450 - Phone
- (727) 734-6631
- Fax
- (727) 736-0548
- NPI assigned
- Feb 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
1831 N Belcher Rd Ste D2
Clearwater, FL 33765-1450
Mailing address
1701 Highway A1A Ste 300
Vero Beach, FL 32963-2263
Phone (561) 320-0996
Other practice location 1
106 State St E
Oldsmar, FL 34677-3651
Phone (727) 263-0800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone (843) 792-1414
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5266 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
2060 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 876-0111
1600 Midtown Ave
Mt Pleasant, SC 29464
Phone (843) 284-6555
8992 University Blvd
North Charleston, SC 29406
Phone (843) 876-5555
Interoperability endpoints
- mlieberman467428@direct.musc.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1477318079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 HIGHWAY A1A STE 300",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632263",
"telephone_number": "561-320-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 N BELCHER RD STE D2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651450",
"telephone_number": "727-734-6631",
"fax_number": "727-736-0548"
}
],
"practiceLocations": [
{
"address_1": "106 State St E",
"address_purpose": "LOCATION",
"city": "Oldsmar",
"state": "FL",
"postal_code": "346773651",
"country_code": "US",
"telephone_number": "727-263-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "MORIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "171 Ashley Ave",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294258908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.