LIBERTY DOCTORS LLC
NPI 1063954956
Family Medicine in Goose Creek, SC

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since November 09, 2016CLIA Certified · 3 labs

110A SPRINGHALL DR, GOOSE CREEK, SC 29445(843) 225-8304(843) 225-3549 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2025, Nov 9, 2016 (2 updates tracked since 2016).

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About Liberty Doctors Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DOCTORS LLC (NPI 1063954956), doing business as Patricia A Campbell Md, is a healthcare organization registered as a family medicine in Goose Creek, South Carolina and active in the NPI registry since November 2016. The organization holds 3 active CLIA laboratory certificates and lists Chelsey Dever, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1063954956

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLIBERTY DOCTORS LLC

Location Address110A SPRINGHALL DRGoose Creek, SC 29445-5335

Mailing Address110 Springhall Dr Ste AGoose Creek, SC 29445-5374 · (843) 225-8304 · Fax (843) 225-3549

Phone(843) 225-8304

Fax(843) 225-3549

Organization SubpartNo

Authorized OfficialChelsey DeverCredentialing Coordinator · (843) 225-8320

Enumeration DateNovember 9, 2016

Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1063954956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110A SPRINGHALL DR, Goose Creek, SC 29445

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Other Names 2

Doing Business AsPatricia A Campbell Md

Doing Business AsSpringhall Family Practice

Other Identifiers 1

MedicaidGP6738SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2123679

Liberty Doctors Dba Patricia A Campbell MD · Goose Creek, SC

Active · expires Dec 27, 2026

CLIA Number42D2123679

Laboratory TypePhysician Office

Certificate Effective DateDecember 28, 2024

Certificate Expiration DateDecember 27, 2026

Laboratory DirectorPatricia A. Campbell

Laboratory Phone(720) 891-3027

Laboratory LocationLiberty Doctors Dba Patricia A Campbell MD110a Springhall Dr, Goose Creek, SC 29445

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 42D2283595

Liberty Doctors LLC Dba Ebb Tide Comprehensive Care · Goose Creek, SC

Active · expires Jun 8, 2027

CLIA Number42D2283595

Laboratory TypePhysician Office

Certificate Effective DateJune 9, 2025

Certificate Expiration DateJune 8, 2027

Laboratory DirectorDr. Corynne A. Boyer

Laboratory Phone(843) 990-5067

Laboratory LocationLiberty Doctors LLC Dba Ebb Tide Comprehensive Care110 B Springhall Drive, Goose Creek, SC 29445

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0251086

Liberty Doctors Dba Carolina Family Medicine · Goose Creek, SC

Active · expires Dec 1, 2026

CLIA Number42D0251086

Laboratory TypePhysician Office

Certificate Effective DateDecember 2, 2024

Certificate Expiration DateDecember 1, 2026

Laboratory DirectorDonald Hanna

Laboratory Phone(843) 442-5908

Laboratory LocationLiberty Doctors Dba Carolina Family Medicine100 Spring Hall Dr, Goose Creek, SC 29445

CLIA data matches this NPI record on: Name

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA A CAMPBELL MD

Family Medicine

110A SPRINGHALL DR, LIBERTY DOCTORS, LLC PATRICIA A CAMPBELL MD
GOOSE CREEK, SC 29445

Berkeley County (843) 266-2520

HUBERT AUSTIN MURRAY DC

Chiropractor