Individual provider Active NPI

Libby Alexandria Ligon, MD

  • Sports Medicine (Family Medicine) Physician
  • Anderson, SC
National Provider Identifier
1811578552
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
74600 Issued in TN
Practice address
2000 E Greenville St Ste 3700
Anderson, SC 29621-1725
Phone
(864) 512-1475
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74600 TN
Sports Medicine (Family Medicine) Physician 207QS0010X 74600 TN Primary
Family Medicine Physician 207Q00000X 91891 SC

Addresses

Primary practice location

2000 E Greenville St Ste 3700
Anderson, SC 29621-1725

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-1475

Other practice location 1

102 E Ravine Rd
Kingsport, TN 37660-3814
Phone (423) 245-9600

Other practice location 2

1043 Jack Vest Dr
Johnson City, TN 37614
Phone (423) 952-8030

Other practice location 3

161 Heart Dr Ste B
Johnson City, TN 37604-2607
Phone (423) 433-6390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240816001100 SC Practitioner - Family Practice 6709287493 Reassigns benefits to 3 organizations
I20250917002668 TN Practitioner - Sports Medicine 6709287493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

1043 Jack Vest Dr
Johnson City, TN 37614
Phone (423) 952-8030

917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 439-6464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74600TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Education Assistance Corporation Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Wellmont Medical Associates Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Wellmont Health System Current Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Medical Education Assistance Corporation Family Medicine PastSince Apr 1, 2021 Accepting new patients

Locations

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

917 W Walnut St
Johnson City, TN 37604
Phone (423) 439-6464

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

161 Heart Dr
Ste B
Johnson City, TN 37604
Phone (423) 433-6390

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600

Interoperability endpoints

  • Direct secure messaging: lligon146856@balladhealth.medalliesdirect.net
  • Direct secure messaging: lligon79189@direct.anmedhealth.net

Organizations & group practices 12

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 3

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1811578552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 3700",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211725",
            "telephone_number": "864-512-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603814",
            "country_code": "US",
            "telephone_number": "423-245-9600",
            "fax_number": "423-245-9634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1043 Jack Vest Dr",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37614",
            "country_code": "US",
            "telephone_number": "423-952-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Heart Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042607",
            "country_code": "US",
            "telephone_number": "423-433-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGON",
        "first_name": "LIBBY",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "74600",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "74600",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "91891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.