COLONIAL FAMILY PRACTICE, LLC (NPI# 1750721064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750721064 |
| Entity Type | Organization |
| Organization Name | COLONIAL FAMILY PRACTICE, LLC |
| Other Organization Name | COLONIAL HEALTHCARE |
| Practice Address |
764 W Liberty St Suite B Sumter SC 29150 |
| Mailing Address |
325 Broad St Suite 100 Sumter SC 29150-4167 |
| Practice Telephone | 8037735227 |
| Practice Fax Number | 8037745400 |
| Mailing Telephone | 8037735227 |
| Mailing Fax Number | 8037745400 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | STEPHANIE DISHER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8037735227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Colonial Healthcare | 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 |
764 W LIBERTY ST SUITE B |
| City | SUMTER |
| State | SC |
| Zip Code | 29150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942307897 | John Richard Mcginnis | Chiropractor | 764 W Liberty St, One Medical Ct., Sumter, SC 29150-4748 | 2006-09-20 |
| 1528319100 | Roper Saint Francis Physicians Network | Neurological Surgery | 764 W Liberty St, Suite 3, Sumter, SC 29150-4748 | 2012-09-24 |
| 1811033822 | Sumter Interventional Pain Associates | Anesthesiology | 764 W Liberty St, Ste 3, Sumter, SC 29150-4770 | 2007-01-29 |
| 1538255906 | John Wallace Guilds | Chiropractor | 764 W Liberty St, One Medical Court, Sumter, SC 29150-4748 | 2006-10-05 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687338 | Colonial Family Practice, LLC | Internal Medicine | 674 W Liberty St, Sumter, SC 29150-4882 | 2019-09-11 |
| 1194145615 | Jacquelyn S. Gill | Internal Medicine | 1278 N. Lafayette Dr, Sumter, SC 29150-2664 | 2014-04-23 |
| 1578581252 | Fisher Medical Pa | Internal Medicine | 6 Barnette Dr, Sumter, SC 29150-8004 | 2006-07-18 |
| 1043292618 | Thomas E Hawkey | Internal Medicine | 12 Barnette Dr, Sumter, SC 29150-8004 | 2005-11-18 |
| 1144218009 | Andrew J. Reynolds | Internal Medicine | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 | 2005-10-13 |
| 1497743595 | Hugh T Stoddard Jr. | Internal Medicine | 244 Church St, Sumter, SC 29150-4256 | 2005-10-12 |
| 1639605231 | Mcleod Physician Associates II | Internal Medicine | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 | 2017-05-03 |
| 1689128951 | Carolina Diabetes & Kidney Center, LLC | Internal Medicine | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2016-08-04 |
| 1699187005 | Leeann Ansica Nelson | Internal Medicine | 129 N Washington St, Sumter, SC 29150-4949 | 2014-05-20 |
| 1801158167 | Onyinye Ugboaja | Internal Medicine | 129 N Washington St, Sumter, SC 29150-4949 | 2012-06-13 |
| 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.