COLONIAL FAMILY PRACTICE, LLC (NPI# 1598313827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598313827 |
| Entity Type | Organization |
| Organization Name | COLONIAL FAMILY PRACTICE, LLC |
| Practice Address |
26 Wesmark Ct Sumter SC 29150-1996 |
| Mailing Address |
325 Broad St Ste 100 Sumter SC 29150-4167 |
| Practice Telephone | 8037735227 |
| Mailing Telephone | 8037735227 |
| Mailing Fax Number | 8037467445 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | MRS. STEPHANIE KNIGHT DISHER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8037735227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Colonial Family Practice Wesmark Court | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541814 | Colonial Family Practice, LLC | Emergency Medicine | 327 Broad St, Sumter, SC 29150-4152 | 2019-11-04 |
| 1225687338 | Colonial Family Practice, LLC | Internal Medicine | 674 W Liberty St, Sumter, SC 29150-4882 | 2019-09-11 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1821383068 | Colonial Family Practice, LLC | Clinic/Center | 3044 Highway 17 Byp N Ste B, Mt Pleasant, SC 29466-9315 | 2011-06-16 |
| 1033402599 | Colonial Family Practice, LLC | Physician Assistant | 1124 Little St, Camden, SC 29020-3613 | 2011-05-17 |
| 1144534694 | Colonial Family Practice, LLC | Family Medicine | 3930 Devine St Ste B, Columbia, SC 29205-2804 | 2010-07-27 |
| 1851547640 | Colonial Family Practice, LLC | Counselor | 742 W Liberty St, Sumter, SC 29150-4746 | 2008-08-12 |
| 1518074640 | Colonial Family Practice, LLC | Counselor | 325 Broad St. Ste 100, Sumter, SC 29150-4167 | 2006-08-24 |
| 1689194342 | Colonial Family Practice, LLC | Family Medicine | 1727 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-06-23 |
| 1033640792 | Colonial Family Practice, LLC | Family Medicine | 1477 Tobias Gadson Blvd, Charleston, SC 29407 | 2017-03-24 |
| Street Address |
26 WESMARK CT |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700391430 | Barbara Jean Epps | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2017-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831843 | Paula Antoinette Dyer | Nurse Practitioner | 1804 Mallory Dr, Sumter, SC 29154-8900 | 2020-08-14 |
| 1679132997 | Roselyn E Hobbs | Nurse Practitioner | 2458 Derwent Dr, Sumter, SC 29154-1054 | 2019-06-10 |
| 1679037410 | Kurtis Rodine | Nurse Practitioner | 319 N. Main St., Sumter, SC 29150-2664 | 2019-01-25 |
| 1659845782 | Carmen Ridgeway Butler | Nurse Practitioner | 115 N Sumter St Ste 305, Sumter, SC 29150-4967 | 2019-01-11 |
| 1700391430 | Barbara Jean Epps | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2017-12-04 |
| 1548703804 | Lorie P Hodge | Nurse Practitioner | 1810 Lirope Way, Sumter, SC 29154-1687 | 2016-11-18 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1821258435 | Celia M Herring | Nurse Practitioner | 649 W Wesmark Blvd, Sumter, SC 29150-1900 | 2008-06-17 |
| 1801078662 | Samuel Wachter | Nurse Practitioner | 217 North Purdy St, Sumter, SC 29150 | 2007-12-03 |
| 1720173172 | Deanna Fiegel Bevan | Nurse Practitioner | Sumter County Health Department, 105 North Magnolia St, Sumter, SC 29150 | 2006-10-03 |
| Find all providers in SUMTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.