LIBERTY DOCTORS LLC
NPI 1659831246
Family Medicine in Charleston, SC

Active since March 21, 2019CLIA 42D2156913 · Waiver
1315 ASHLEY RIVER RD, CHARLESTON, SC 29407(854) 429-1175 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Sep 9, 2019, Mar 21, 2019 (3 updates tracked since 2019).

About Liberty Doctors Llc NPPES

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

LIBERTY DOCTORS LLC (NPI 1659831246), doing business as Simple Medicine, is a healthcare organization registered as a family medicine in Charleston, South Carolina and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Chelsey Dever, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1659831246
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIBERTY DOCTORS LLC
Location Address1315 ASHLEY RIVER RDCharleston, SC 29407-5315
Mailing AddressPo Box 13955Charleston, SC 29422-3955 · (843) 225-8320 · Fax (843) 225-3549
Organization SubpartNo
Authorized OfficialChelsey DeverCredentialing Coordinator · (843) 225-8320
Enumeration DateMarch 21, 2019
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1659831246 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.

1315 ASHLEY RIVER RD, Charleston, SC 29407

Other Names 1

Doing Business AsSimple Medicine

Other Identifiers 2

MedicaidGP6738SC
OtherA634SC · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 42D2156913

Liberty Doctors Dba Simple Medicine · Charleston, SC
Active · expires Oct 25, 2026
CLIA Number42D2156913
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDouglas Gleaton
Laboratory Phone(854) 429-1175
Laboratory LocationLiberty Doctors Dba Simple Medicine1315 Ashley River Unit 1, Charleston, SC 29407
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
1315 ASHLEY RIVER RD
CHARLESTON, SC 29407
Family Medicine
1315 ASHLEY RIVER RD
CHARLESTON, SC 29407

Frequently 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 Liberty Doctors LLC's NPI number?

The NPI number for Liberty Doctors LLC is 1659831246. It was assigned to this organization in the NPPES registry on March 21, 2019. The provider is doing business as Simple Medicine.

Where is Liberty Doctors LLC located?

Liberty Doctors LLC is located at 1315 Ashley River Rd, Charleston, SC 29407. The listed phone number is (854) 429-1175.

What is Liberty Doctors LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Liberty Doctors LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2156913) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Doctors LLC was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.