Liberty Doctors LLC
NPI 1700162203 · Family Medicine Physician · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Liberty Doctors LLC is a Family Medicine Physician organization in Charleston, SC (NPI 1700162203).
Provider details
- NPI number
- 1700162203
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lissa Lara, Chief Executive Officer(843) 412-1590
- License
- 30704 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mackey Family Practice
- Doing business as
- Mobile Medical Consultants
- Doing business as
- Mobile Medical Consultants
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Liberty Doctors LLC's NPI number?
- Liberty Doctors LLC's National Provider Identifier (NPI) is 1700162203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Doctors LLC?
- Liberty Doctors LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Liberty Doctors LLC located?
- Liberty Doctors LLC's practice location on file with NPPES is 8761 Dorchester Rd Ste 230, Charleston, SC 29420-7322.
- What is Liberty Doctors LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Doctors LLC is (843) 471-2273.
- Does Liberty Doctors LLC accept Medicare?
- Liberty Doctors LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Liberty Doctors LLC?
- The authorized official listed on Liberty Doctors LLC's NPPES record is Lissa Lara, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Doctors LLC's NPI active?
- Yes — Liberty Doctors LLC's NPI (1700162203) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.