NPIMap

Individual provider Active NPI

Skye Nicole Deberry, MD

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1710943584
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22301 Issued in SC
Practice address
1112 N Main St
Summerville, SC 29483-7315
Phone
(843) 212-8080
Fax
(843) 212-8081
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22301 SC Primary

Addresses

Primary practice location

1112 N Main St
Summerville, SC 29483-7315

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
223010MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000124 SC Practitioner - Family Practice 8123119799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

110 Springhall Dr
Suite a
Goose Creek, SC 29445-5335
Phone (843) 990-5067

9500 Dorchester Rd
Suite 362
Summerville, SC 29485-4304
Phone (843) 212-8080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22301SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors, LLC Family Medicine CurrentSince Jun 17, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 11, 2015 Accepting new patients
Liberty Doctors LLC Family Medicine CurrentSince Jun 17, 2024 Accepting new patients
Roper Saint Francis Physicians Network Family Medicine CurrentSince Aug 11, 2015 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Liberty Doctors LLC Past Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Family Medicine Past Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

1525 Trolley Rd
Ste H
Summerville, SC 29485
Phone (843) 212-8080

9500 Dorchester Rd
Ste 362
Summerville, SC 29485
Phone (843) 212-8080

1112 N Main St
Ste C
Summerville, SC 29483
Phone (843) 577-7550

1112 N Main St
Summerville, SC 29483
Phone (843) 212-8080

Interoperability endpoints

  • Direct secure messaging: ndeberry@libertydoctors.ssdirect.aprima.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1710943584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837315",
            "telephone_number": "843-212-8080",
            "fax_number": "843-212-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "SKYE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223010",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.