COLONIAL FAMILY PRACTICE LLC NPI 1851547640

NPI Information

  • NPI: 1851547640
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL PEDIATRICS
  • Address: 742 W LIBERTY ST
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is a pediatrics in Sumter, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COLONIAL FAMILY PRACTICE, LLC NPI is 1851547640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colonial Pediatrics.

The provider's business location address is:

742 W LIBERTY ST
SUMTER, SC
ZIP 29150-746
Phone: (803) 773-5227
Fax: (803) 774-5400

The provider's authorized official is Stephanie Knight Disher .
The authorized official title is Credentialing Manager and has the following contact phone number (803) 773-5227.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 3/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional5499SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo
4208000000XPediatrics3004950SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP3564MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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