COLONIAL FAMILY PRACTICE, LLC (NPI# 1851547640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851547640 |
| Entity Type | Organization |
| Organization Name | COLONIAL FAMILY PRACTICE, LLC |
| Other Organization Name | COLONIAL PEDIATRICS |
| Practice Address |
742 W Liberty St Sumter SC 29150-4746 |
| 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 | 2008-08-12 |
| Last Update Date | 2013-10-02 |
| Authorized Official Name | DR. CLAYTON R LOWDER III (MANAGING PROVIDER) |
| Authorized Official Telephone | 8037735227 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
5499 | SC | Behavioral Health & Social Service Providers |
| Y | 208000000X | Pediatrics | 3004950 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3564 | 05 |
| Other Name | Type Code |
|---|---|
| Colonial Pediatrics | 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 |
| 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 |
| 1033640792 | Colonial Family Practice, LLC | Family Medicine | 1477 Tobias Gadson Blvd, Charleston, SC 29407 | 2017-03-24 |
| Street Address |
742 W LIBERTY ST |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417328667 | Elizabeth Brockinton | Nurse Practitioner | 742 W Liberty St, Sumter, SC 29150-4746 | 2015-10-14 |
| 1245662204 | Leslie 'day' G Caughman | Counselor | 742 W Liberty St, Sumter, SC 29150-4746 | 2013-08-01 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295089928 | Munford Medical Care Services Mmcs LLC | Pediatrics | 4150 Cobblestone Rd, Sumter, SC 29154-8043 | 2012-11-02 |
| 1477553337 | Nelson H Sturgis IIi | Pediatrics | 370 S Pike W, Sumter, SC 29150-2664 | 2005-07-21 |
| 1871593749 | Sumter Pediatrics, P.a. | Pediatrics | 237 Church St, Sumter, SC 29150-4202 | 2005-07-21 |
| 1144220005 | John Elliott Rowe IIi | Pediatrics | 237 Church Street, Sumter, SC 29150-4202 | 2005-07-21 |
| 1750381604 | Teresa L Buschor | Pediatrics | 380 W Wesmark Blvd, Building B, Sumter, SC 29150-1977 | 2005-07-21 |
| 1295298529 | Prisma Health Tuomey | Pediatrics | 129 N Washington St, Sumter, SC 29150-4949 | 2019-04-12 |
| 1215249222 | Michele Renee Easler | Pediatrics | 237 Church St, Sumter, SC 29150-4202 | 2010-07-07 |
| 1679605018 | Jason Brooks Grier | Pediatrics | 237 Church St, Sumter, SC 29150-4202 | 2007-03-12 |
| 1295867059 | Kimberly Daves Ashley | Pediatrics | 370 South Pike West, Sumter, SC 29150 | 2007-03-09 |
| 1962488817 | Sumter Pediatrics, P.a. | Pediatrics | 241 Church St, Sumter, SC 29150-4202 | 2005-12-21 |
| 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.