COLONIAL FAMILY PRACTICE, LLC (NPI# 1831435429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831435429 |
| Entity Type | Organization |
| Organization Name | COLONIAL FAMILY PRACTICE, LLC |
| Other Organization Name | CENTER FOR PAIN CONTROL AND REHAB |
| Practice Address |
215 W Hampton Ave 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 | 2012-12-31 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | CLAYTON R LOWDER (CEO) |
| 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 | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Pain Control | Doing Business As Name - Organization |
| Center for Pain Control and Rehab | Doing Business As Name - Organization |
| Colonial Family Practice | 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 |
215 W HAMPTON AVE |
| City | SUMTER |
| State | SC |
| Zip Code | 29150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913813 | Matthew J Furman | Anesthesiology | 215 W Hampton Ave, Sumter, SC 29150-4911 | 2005-06-27 |
| 1871973339 | Mary Kathleen Cox | Nurse Practitioner | 215 W Hampton Ave, Sumter, SC 29150-4911 | 2015-05-31 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333773 | Carolina Anesthesia Inc | Anesthesiology | 129 North Washington St, Sumter, SC 29150 | 2006-02-02 |
| 1891343695 | S1 Medical Holdings LLC | Anesthesiology | 10 Miller Rd, Sumter, SC 29150-2403 | 2019-08-27 |
| 1104064914 | Firstchoice Healthcare, PC | Anesthesiology | 10 Miller Rd, Sumter, SC 29150-2403 | 2009-02-02 |
| 1811033822 | Sumter Interventional Pain Associates | Anesthesiology | 764 W Liberty St, Ste 3, Sumter, SC 29150-4770 | 2007-01-29 |
| 1952472953 | Michael T. Warrick | Anesthesiology | 129 N Washington St, Sumter, SC 29150-4949 | 2006-11-13 |
| 1164537635 | Sumter Urological, LLC | Anesthesiology | 410 W Wesmark Blvd, Sumter, SC 29150-1983 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
| 1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
| 1235610767 | Premier Pain Solutions Pllc | Anesthesiology | 201 Richard St Ste A, Easley, SC 29640-1442 | 2018-08-23 |
| 1902316557 | Anesthesia Aficianados, LLC | Anesthesiology | 10630 Clemson Blvd Ste 200, Seneca, SC 29678-4545 | 2017-10-10 |
| 1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
| 1053860841 | Emergencymd, LLC | Anesthesiology | 2555 Boiling Springs Rd, Boiling Springs, SC 29316-5351 | 2016-09-22 |
| 1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
| 1215302823 | Low Country Pain & Spine | Anesthesiology | 9180 Ocean Hwy Unit 6, Pawleys Island, SC 29585-8670 | 2015-12-08 |
| 1760888127 | Seaside Professional Services LLC | Anesthesiology | 25 Sherington Park Drive, Suite D-1, Bluffton, SC 29910 | 2014-11-13 |
| 1336559830 | Ryan Peyton Hostutler | Anesthesiology | 201 Richard St Unit A, Easley, SC 29640-1442 | 2014-05-06 |
| Find all providers with the same taxonomy | ||||
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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.