Lisa J Smith (NPI# 1326254046, PAC ID# 0042239493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326254046 |
| PAC ID by PECOS | 0042239493 |
| Professional Enrollment ID | I20080730000163 |
| Full Name | Lisa J Smith |
| Organization Legal Name | COLONIAL FAMILY PRACTICE LLC |
| Address |
325 Broad St Suite 100 Sumter SC 29150-4167 |
| Phone Number | 8037735227 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9931017118 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 8037735227 | COLONIAL FAMILY PRACTICE LLC |
| Organization Legal Name | COLONIAL FAMILY PRACTICE LLC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Jean Epps | Nurse Practitioner | Colonial Family Practice LLC | 26 Wesmark Ct, Sumter, SC 29150-1996 |
| Matthew Furman | Anesthesiology | Colonial Family Practice LLC | 215 W Hampton Ave, Sumter, SC 29150-4911 |
| Lillian G Stukes Douglas | Nurse Practitioner | Colonial Family Practice LLC | 1036 Professional Ct, Manning, SC 29102-2827 |
| David Glenn Whaley Jr. | Family Medicine | Colonial Family Practice LLC | 674 W Liberty St, Sumter, SC 29150-4882 |
| Gina G Wilson | Nurse Practitioner | Colonial Family Practice LLC | 1013 Professional Ct, Suite C, Manning, SC 29102-2827 |
| Jill C Lewis | Nurse Practitioner | Colonial Family Practice LLC | 4700 Forest Dr, Columbia, SC 29206-3119 |
| Christopher M Mahr | Family Medicine | Colonial Family Practice LLC | 698 Bultman Dr, A, Sumter, SC 29150-2549 |
| Ike Stewart | Family Medicine | Colonial Family Practice LLC | 308 W Mark Blvd, Sumter, SC 29150-1977 |
| Kimberly Reisenauer | Physician Assistant | Colonial Family Practice LLC | 385 W Wesmark Blvd, Sumter, SC 29150-1987 |
| Jason M Leonard | Family Medicine | Colonial Family Practice LLC | 385 W Wesmark Blvd, Sumter, SC 29150-1987 |
| Street Address |
325 BROAD ST SUITE 100 |
| City | SUMTER |
| State | SC |
| Zip | 29150-4167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward R Reynolds Jr. | Physician Assistant | Phillip L Latham Jr | 325 Broad St, Suite 200, Sumter, SC 29150-4167 |
| Amber Ballentine | Nurse Practitioner | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Mitchell R Grunsky | Family Medicine | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Michael Chandler | Family Medicine | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Sylvia L Parra | Dermatology | Phillip L Latham Jr | 325 Broad St, Suite 200, Sumter, SC 29150-4167 |
| Winston B Morris | Family Medicine | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Phillip Lane Latham Jr. | Dermatology | Phillip L Latham Jr | 325 Broad St, Suite 200, Sumter, SC 29150-4167 |
| Carrie Hoshour | Nurse Practitioner | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Kaoru Joan Pridgen | Family Medicine | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Mary Kathleen Cox | Nurse Practitioner | Colonial Family Practice LLC | 325 Broad St, Suite 100, Sumter, SC 29150-4167 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUMTER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lisa J Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.