COLONIAL FAMILY PRACTICE, LLC (NPI# 1629509625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629509625 |
| Entity Type | Organization |
| Organization Name | COLONIAL FAMILY PRACTICE, LLC |
| Other Organization Name | CHARLESTON PAIN AND REHABILITATION CENTER |
| Practice Address |
1124 Sam Rittenberg Blvd Suite 1 Charleston SC 29407 |
| Mailing Address |
325 Broad St Ste 100 Sumter SC 29150-4167 |
| Practice Telephone | 2524522700 |
| Mailing Telephone | 8037735227 |
| Mailing Fax Number | 8037467445 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | DAVID GLENN WHALEY (PARTNER) |
| Authorized Official Telephone | 8037735227 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Charleston Pain and Rehabilitation Center | 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 |
| 1598313827 | Colonial Family Practice, LLC | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2019-08-29 |
| 1689194342 | Colonial Family Practice, LLC | Family Medicine | 1727 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-06-23 |
| Street Address |
1124 SAM RITTENBERG BLVD SUITE 1 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730138165 | Paul Waller Friedman | Chiropractor | 1124 Sam Rittenberg Blvd, Suite #4, Charleston, SC 29407-3362 | 2006-05-10 |
| 1104021229 | Paul W Friedman Dc LLC | Chiropractor | 1124 Sam Rittenberg Blvd, Suite #4, Charleston, SC 29407-3362 | 2007-06-19 |
| 1730381336 | Cromer Chiropractic | Chiropractor | 1124 Sam Rittenberg Blvd, Stuite #4, Charleston, SC 29407-3362 | 2007-06-05 |
| 1255457693 | Jeffrey W Buncher | Family Medicine | 1124 Sam Rittenberg Blvd, Ste 1, Charleston, SC 29407-3362 | 2007-03-21 |
| 1063454775 | W M Woodward, Md, Pa | Family Medicine | 1124 Sam Rittenberg Blvd, Suite 1, Charleston, SC 29407-3362 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497128045 | Compass Pain Care LLC | Pain Medicine | 706 Arcadian Way, Charleston, SC 29407-7109 | 2015-11-04 |
| 1376507566 | Josiah Kenneth Lilly IIi | Pain Medicine | 4001 Virginia Ave Se, Charleston, WV 25304-1603 | 2006-04-14 |
| 1790158343 | Compass Pain Care LLC | Pain Medicine | 706 Arcadian Way, Charleston, SC 29407-7109 | 2015-11-04 |
| 1437599206 | Roper Saint Francis Physicians Network | Pain Medicine | 2145 Henry Tecklenburg Dr, Suite 220w, Charleston, SC 29414-5893 | 2013-06-26 |
| 1417929027 | Charleston Spine & Physical Medicine | Pain Medicine | 2093 Henry Tecklenburg Dr, Ste 310, Charleston, SC 29414-5743 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659915445 | Trident Pain Center P A | Pain Medicine | 176 Mcswain Dr, West Columbia, SC 29169-4825 | 2019-11-05 |
| 1437793353 | Trident Pain Center P A | Pain Medicine | 205 Eddie Chasteen Dr, Walterboro, SC 29488-5728 | 2019-11-04 |
| 1295381291 | Palmetto Bone and Joint | Pain Medicine | 104 Ellett Road, Chapin, SC 29036 | 2019-08-15 |
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1194138255 | Trident Pain Center | Pain Medicine | 302 Medical Park Dr Ste 207a, Walterboro, SC 29488-5749 | 2014-06-06 |
| 1679991301 | Hospice & Palliative Care Charlotte Region | Pain Medicine | 1057 Red Ventures Dr, Suite 150, Fort Mill, SC 29707-5001 | 2014-03-31 |
| 1508009614 | Pee Dee Pain Care, LLC | Pain Medicine | 552 W Carolina Ave, Hartsville, SC 29550-5412 | 2009-04-20 |
| 1710151808 | George Calhoun Aycock Jr. | Pain Medicine | 377 Rast St, Sumter, SC 29150-2583 | 2008-04-18 |
| 1356546162 | Leanne Y Watkins | Pain Medicine | 1350 Parkway, Greenwood, SC 29646-3860 | 2007-06-20 |
| 1700833878 | Michael Tannehill Grier | Pain Medicine | 100 Health Way Suite 1260, Piedmont Comprehensive Pain Management Group, Anderson, SC 29621 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.