HAILEY BETH LIBENGOOD PA-C
NPI 1508224015
Physician Assistant in Charleston, SC

Q: What is Hailey Libengood's NPI number?

The NPI number for Hailey Libengood is 1508224015. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Q: What is Hailey Libengood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Hailey Libengood was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 29, 2016PECOS Enrolled

135 RUTLEDGE AVE, CHARLESTON, SC 29425(843) 792-3328 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hailey Beth Libengood Pa-c NPPES

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

HAILEY BETH LIBENGOOD PA-C (NPI 1508224015) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (2445) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508224015

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHAILEY BETH LIBENGOODCredential: PA-C

Location Address135 RUTLEDGE AVECharleston, SC 29425-8903

Mailing AddressPo Box 1245Orangeburg, SC 29116-1245 · (803) 395-4497 · Fax (803) 395-2237

Phone(843) 792-3328

Sole ProprietorYes

Enumeration DateJanuary 29, 2016

Last NPPES UpdateAugust 5, 2016

✔ NPI 1508224015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 2445

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

135 RUTLEDGE AVE, Charleston, SC 29425

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Other Identifiers 1

Medicare PIN5677SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Beth Libengood Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BRIANNE NICOLE SHOKRI PHARMD

Pharmacist