DR. LIBBY ALEXANDRIA LIGON MD
NPI 1811578552
Family Medicine - Sports Medicine in Anderson, SC

Q: What is Libby Ligon's NPI number?

The NPI number for Libby Ligon is 1811578552. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Libby Ligon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Libby Ligon was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment

2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621(864) 512-1475 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 9, 2025, Aug 22, 2024, Apr 15, 2021 (3 updates tracked since 2021).

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About Dr. Libby Alexandria Ligon Md NPPES

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

DR. LIBBY ALEXANDRIA LIGON MD (NPI 1811578552) is an individual sports medicine provider in Anderson, South Carolina, licensed in Tennessee (74600) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811578552

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDR. LIBBY ALEXANDRIA LIGONCredential: MD

Location Address2000 E GREENVILLE ST STE 3700Anderson, SC 29621-1725

Mailing AddressPo Box 100174Columbia, SC 29202-3174 · (864) 512-1475

Phone(864) 512-1475

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 15, 2021

Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1811578552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TN · 74600

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 74600 (TN), 91891 (SC)

2000 E GREENVILLE ST STE 3700, Anderson, SC 29621

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Secondary Practice Locations 3

Location 1102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600 · Fax (423) 245-9634

Location 21043 Jack Vest DrJohnson City, TN 37614 · Phone (423) 952-8030

Location 3161 Heart Dr Ste BJohnson City, TN 37604-2607 · Phone (423) 433-6390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Libby Alexandria Ligon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709287493

PECOS Enrollment IDI20250917002668

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29621 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

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$91.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$34.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RYAN NALL MD

Student in an Organized Health Care Education/Training Program