LIBERTY DOCTORS LLC
NPI 1558928614
Pediatrics in Charleston, SC

NPI Status: Active since May 23, 2019

Contact Information

8761 DORCHESTER RD STE 100
CHARLESTON, SC
ZIP 29420
Phone: (843) 747-4647
Fax: (843) 745-0969

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  • Organization
  • Pediatrics

About LIBERTY DOCTORS LLC

This page provides the complete NPI Profile along with additional information for Liberty Doctors Llc, a pediatrician established in Charleston, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1558928614 assigned on May 2019. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Chelsey Dever (Credentialing Coordinator)

NPI
1558928614
Provider Name
LIBERTY DOCTORS LLC
Entity Type
Organization
Location Address
8761 DORCHESTER RD STE 100 CHARLESTON, SC 29420
Location Phone
(843) 747-4647
Location Fax
(843) 745-0969
Mailing Address
PO BOX 13955 CHARLESTON, SC 29422
Mailing Phone
(843) 225-8320
Mailing Fax
(843) 745-0969
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-23-2019
Last Update Date
03-26-2026
Code Navigator

A pediatrician like Liberty Doctors Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHELSEY DEVER

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(843) 225-8320

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP6738MEDICAID (05)SC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558928614, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 8 + 2 + 1 + 6 + 6 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1558928614.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC 29420
Family Medicine
8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC 29420
Internal Medicine
8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC 29420
Nurse Practitioner (Primary Care)
8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC 29420
Pediatrics
8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC 29420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558928614, enumerated as an "organization" on May 23, 2019.

The provider is located at 8761 DORCHESTER RD STE 100 CHARLESTON, SC 29420 and the phone number is (843) 747-4647.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.