LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE
NPI 1417967092
Family Medicine in Charleston, SC
NPI Status: Active since August 08, 2006
Contact Information
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC
ZIP 29414
Phone: (843) 766-1936
Fax: (843) 766-1206
- Organization
- Family Medicine
- CLIA Number: 42D2167887
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-17-2027
About LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE
This page provides the complete NPI Profile along with additional information for Liberty Doctors Llc D/b/a Family First Medical Care, a primary care provider established in Charleston, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1417967092 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 22266 (SC). The provider is registered as an organization and their NPI record was last updated 8 years ago. Liberty Doctors Llc D/b/a Family First Medical Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Health Care Consultants Of Charleston. The authorized official of this NPI record is Mrs. Elizabeth Maynor-hardy (Credentialing Coordinator)
- NPI
- 1417967092
- Provider Legal Name
- LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE
- Other Organization Name
- HEALTH CARE CONSULTANTS OF CHARLESTON
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414
- Location Phone
- (843) 766-1936
- Location Fax
- (843) 766-1206
- Mailing Address
- PO BOX 13955 CHARLESTON, SC 29422
- Mailing Phone
- (843) 225-8320
- Mailing Fax
- (843) 766-1206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2006
- Last Update Date
- 09-21-2017
- Code Navigator
A primary care provider (PCP) like Liberty Doctors Llc D/b/a Family First Medical Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22266
- License State
- SC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 6385 (SC) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 21948 (SC) |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 24446 (SC) |
| 4 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 5942 (SC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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.
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.
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 |
|---|---|---|---|
| 280508389 | OTHER (01) | SC | BCBS |
| F51580 | MEDICARE UPIN (02) | SC | |
| G21879 | MEDICARE UPIN (02) | SC | |
| E38172 | MEDICARE UPIN (02) | SC | |
| 247253076 | OTHER (01) | SC | BCBS |
| B1015 | OTHER (01) | SC | MEDCOST |
| 400560049 | OTHER (01) | SC | BCBS |
| 7036 | MEDICARE PIN (08) | SC | |
| G33574 | MEDICARE UPIN (02) | SC | |
| 194667 | MEDICAID (05) | SC | |
| GP3158 | MEDICAID (05) | SC | |
| 247743969 | OTHER (01) | SC | BCBS |
| 257064675 | OTHER (01) | SC | BCBS |
| H59795 | MEDICARE UPIN (02) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2167887
- Facility Type
- Physician Office
- Certificate Effective Date
- June 18, 2025
- Certificate Expiration Date
- June 17, 2027
- Laboratory Director
- LAURA KINNEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Liberty Doctors Llc D/b/a Family First Medical Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 9 | 6 | 7 | 0 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 18 | 6 | 14 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 8 + 6 + 1 + 4 + 0 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1417967092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629147848 | DR. AMELIA C FAIRFAX MD Individual | Family Medicine | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 766-1936 |
| 1184117889 | MICHELLE PRICE APRN Individual | Nurse Practitioner (Adult Health) | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 766-1936 |
| 1043206410 | DR. DONALD P HURLEY D.O. Individual | Family Medicine | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 766-1936 |
| 1740959303 | FAMILY FIRST MEDICAL CARE Organization | Family Medicine | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 766-1936 |
| 1932870318 | TIDEWATER DOCTORS LLC Organization | Family Medicine | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 766-1936 |
| 1992474654 | TIDEWATER DOCTORS LLC Organization | Family Medicine | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 766-1936 |
| 1750811220 | DR. KATHRYN HICKS DPT Individual | Physical Therapist | 2270 ASHLEY CROSSING DR STE 150 CHARLESTON, SC 29414 (843) 818-4886 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417967092, enumerated in the NPI registry as an "organization" on August 08, 2006
The provider is located at 2270 Ashley Crossing Dr Ste 150 Charleston, Sc 29414 and the phone number is (843) 766-1936
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D2167887 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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