NPIMap

Organization Active NPI

Liberty Doctors, LLC

Doing business as Dr. Heather Dawson

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1508928656
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIBERTY DOCTORS, LLC
Doing business as
Dr. Heather Dawson
Practice address
8761 Dorchester Rd Ste 100
North Charleston, SC 29420-7320
Phone
(843) 767-3323
Fax
(843) 767-4252
NPI assigned
Dec 15, 2006
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LIBERTY DOCTORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 17172 SC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8761 Dorchester Rd Ste 100
North Charleston, SC 29420-7320

Mailing address

PO Box 13955
Charleston, SC 29422-3955
Phone (843) 225-8304

Other practice location 1

6518 Dorchester Rd Ste B
Charleston, SC 29418-5100
Phone (843) 767-3323

Other names 1

  • Dr. Heather Dawson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120110000683 SC Part B Supplier - Clinic/Group Practice 0840466017 Receives reassigned benefits from 69 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aiken, SC; Summerville, SC; North Charleston, SC; Moncks Corner, SC; Lancaster, SC; Indian Land, SC; Goose Creek, SC; Edisto Island, SC…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Liberty Doctors LLC

Locations

215 Town Creek Rd
Aiken, SC 29803
Phone (803) 508-7651

1064 Gardner Rd
Ste 105
Charleston, SC 29407
Phone (843) 226-0046

110 Springhall Dr
Ste B
Goose Creek, SC 29445
Phone (843) 491-9955

6518 Dorchester Rd
Ste B
North Charleston, SC 29418
Phone (843) 767-3323

8761 Dorchester Rd
Ste 230
North Charleston, SC 29420
Phone (843) 225-8320

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1508928656",
    "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": "843-225-8304",
            "fax_number": "843-225-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 DORCHESTER RD STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207320",
            "telephone_number": "843-767-3323",
            "fax_number": "843-767-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6518 Dorchester Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294185100",
            "country_code": "US",
            "telephone_number": "843-767-3323",
            "fax_number": "843-767-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY DOCTORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY DOCTORS, LLC",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "17172",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Heather Dawson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Heather Dawson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.