COLONIAL FAMILY PRACTICE, LLC


Address: 1727 Village Park Dr, Orangeburg, SC 29118-2475
Phone: 8035330007

COLONIAL FAMILY PRACTICE, LLC (NPI# 1689194342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689194342
Entity Type Organization
Organization Name COLONIAL FAMILY PRACTICE, LLC
Other Organization Name PADGETT FAMILY PRACTICE
Practice Address 1727 Village Park Dr
Orangeburg
SC 29118-2475
Mailing Address 325 Broad St Ste 100
Sumter
SC 29150-4167
Practice Telephone 8035330007
Mailing Telephone 8037735227
Mailing Fax Number 8037467445
Enumeration Date 2017-06-23
Last Update Date 2018-05-30
Authorized Official Name DAVID GLENN WHALEY (PARTNER)
Authorized Official Telephone 8037735227
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Padgett Family Practice Doing Business As Name - Organization

Other Provider IDs and Locations

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
1033640792 Colonial Family Practice, LLC Family Medicine 1477 Tobias Gadson Blvd, Charleston, SC 29407 2017-03-24

Office Location

Street Address 1727 VILLAGE PARK DR
City ORANGEBURG
State SC
Zip Code 29118-2475

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962463521 Gloria Reed Nurse Practitioner 1727 Village Park Dr, Orangeburg, SC 29118-2475 2006-03-31
1356403174 R Dale Padgett Md Pa New Corp General Practice 1727 Village Park Dr, Orangeburg, SC 29118-2475 2006-12-15
1639117732 Edisto Regional Medical Center Family Medicine 1727 Village Park Dr, Orangeburg, SC 29118-2475 2006-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386268175 Sharon Y Tremble Speech-Language Pathologist 222 Summit Parkway, Orangeburg, SC 29118 2020-06-08
1922658756 Orangeburg County School District Local Education Agency (LEA) 102 Founders Court, Orangeburg, SC 29118 2019-09-13
1710442967 Central Carolina Endodontics Pa Dentist 888 Cook Road, Orangeburg, SC 29118 2019-02-01
1821572009 Sharon Fogle Counselor 2319 Wt. Matthews Road, Orangeburg, SC 29118 2018-09-24
1104320001 South Carolina Surgical Pa Surgery 3045 St Matthews Road, Orangeburg, SC 29118 2018-03-23
1477056794 Palmetto Moon Anesthesia, LLC Anesthesiology 3045 St. Matthews Rd., Orangeburg, SC 29118 2018-03-13
1730691882 Bio-medical Applications of South Carolina, Inc. Clinic/Center 125 Kinard St, Orangeburg, SC 29118 2017-10-30
1154862746 Latasha Hott Nurse Practitioner 2323 St. Matthews Rd, Orangeburg, SC 29118 2017-03-15
1154786960 R Dale Padgett Md Pa Clinic/Center 1727 Villagepark Dr, Orangeburg, SC 29118 2015-12-21
1881977726 Ontime Transport LLC Non-emergency Medical Transport (VAN) 2851 Pelham Ct, Orangeburg, SC 29118 2011-09-27
Find all providers in zip 29118

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053941757 Occ Pro Healthcare LLC Family Medicine 1555 Middleton St, Orangeburg, SC 29115-4791 2020-01-22
1548429319 Dr. Spencer C Disher Family Medicine 196 Centre St, Orangeburg, SC 29115-6044 2008-06-05
1114094745 Neil L Block Family Medicine 60 Dutch Hill Road, Suite 3, Orangeburg, NY 10962 2006-11-29
1699882662 Henry Bowens Jr. Family Medicine 172 Old Elloree Rd, Orangeburg, SC 29115 2006-08-24
1912914284 Willie B Louis Family Medicine 1102 Summers Ave, Orangeburg, SC 29115-4922 2006-08-01
1730103144 Franklin Carn Coulter Family Medicine 941 Summers Ave, Orangeburg, SC 29115-4931 2006-07-27
1093733719 William H Whitley Family Medicine 1724 Village Park Dr, Orangeburg, SC 29118-2426 2006-07-18
1962428318 Arthur Kobina Kennedy Family Medicine 1748 Saint Matthews Rd, Orangeburg, SC 29118-2441 2006-07-15
1447280946 Patricia Ellen Riddle Family Medicine 1101 Cook Road, Orangeburg, SC 29118 2006-07-03
1093744849 Alan Mark Jolles Family Medicine 125 Express Ln, Orangeburg, SC 29118-2477 2006-07-02
Find all providers in ORANGEBURG

Competitor

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City ORANGEBURG
Zip Code 29118

Improve Information

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Dataset Information

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.

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