LIBERTY DOCTORS LLC
NPI 1700162203
Family Medicine in Charleston, SC
About Liberty Doctors Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY DOCTORS LLC (NPI 1700162203), doing business as Mackey Family Practice, is a healthcare organization registered as a family medicine in Charleston, South Carolina and active in the NPI registry since October 2011. The organization lists Lissa C Lara, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Doctors Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Liberty Doctors LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 51North Charleston, SC 29420
North Charleston, SC 29420
North Charleston, SC 29420
Charleston, SC 29406
Goose Creek, SC 29445
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1700162203. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Mackey Family Practice and Mobile Medical Consultants.
Where is Liberty Doctors LLC located?
Liberty Doctors LLC is located at 8761 Dorchester Rd Ste 230, Charleston, SC 29420. The listed phone number is (843) 471-2273.
What is Liberty Doctors LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Liberty Doctors LLC enrolled in Medicare?
Yes. Liberty Doctors LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Liberty Doctors LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 4 Medicare specialties reassign their Medicare billing to Liberty Doctors LLC. 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 (23), Family Practice (21) and Internal Medicine (5). Of these, 7 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Liberty Doctors LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Liberty Doctors LLC 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 Liberty Doctors LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 Doctors Llc · NPI 1700162203
Family Medicine organization in Charleston, South Carolina. Organization record, active in the CMS NPPES registry since October 27, 2011.
## Identity
- **NPI:** 1700162203 (Entity type: Organization)
- **Enumerated:** October 27, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Mackey Family Practice (Doing Business As); Mobile Medical Consultants (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lissa Lara, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 8761 DORCHESTER RD STE 230, Charleston, SC 29420-7322
- **Phone:** (843) 471-2273 · **Fax:** (843) 377-8180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 51 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Family Practice (21), Internal Medicine (5); 7 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1700162203/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
- **Other identifiers:** Other SC6924A634 (SC); Medicaid GP6738 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1700162203) · Data from the CMS NPPES public registry.