LIBERTY FAMILY MEDICINE
NPI 1356636534
Family Medicine in Hinesville, GA
About Liberty Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY FAMILY MEDICINE (NPI 1356636534) is a healthcare organization registered as a family medicine in Hinesville, Georgia and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Derek Rozier, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Liberty Family Medicine, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 11D2095019
Liberty Regional Med Ctr Dba Liberty Family Med · Hinesville, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hospital Authority Of Liberty County's NPI number?
The NPI number for Hospital Authority Of Liberty County is 1356636534. It was assigned to this organization in the NPPES registry on June 15, 2011. The provider is doing business as Liberty Family Medicine.
Where is Hospital Authority Of Liberty County located?
Hospital Authority Of Liberty County is located at 455 S.Main Street Ste 104, Hinesville, GA 31313. The listed phone number is (912) 876-5644.
What is Hospital Authority Of Liberty County's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hospital Authority Of Liberty County enrolled in Medicare?
Yes. Hospital Authority Of Liberty County is registered in the Medicare PECOS enrollment system.
When is Hospital Authority Of Liberty County's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hospital Authority Of Liberty County?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 7 Medicare specialties reassign their Medicare billing to Hospital Authority Of Liberty County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Obstetrics/Gynecology (6) and General Surgery (2). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hospital Authority Of Liberty County hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2095019) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hospital Authority Of Liberty County accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hospital Authority Of Liberty County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hospital Authority Of Liberty County was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Liberty Family Medicine · NPI 1356636534
Family Medicine organization in Hinesville, Georgia. Organization record, active in the CMS NPPES registry since June 15, 2011.
## Identity
- **NPI:** 1356636534 (Entity type: Organization)
- **Enumerated:** June 15, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Hospital Authority Of Liberty County
- **Organization subpart:** No
- **Authorized official:** Derek Rozier, CFO
## Practice location
- **Address:** 455 S.MAIN STREET STE 104, Hinesville, GA 31313
- **Phone:** (912) 876-5644 · **Fax:** (912) 408-3457
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 24 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Obstetrics/Gynecology (6), General Surgery (2); 5 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1356636534/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2022
- **Other identifiers:** Other 065972 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356636534) · Data from the CMS NPPES public registry.