Lisa J Smith
COLONIAL FAMILY PRACTICE LLC


Address: 325 Broad St, Suite 100, Sumter, SC 29150-4167
Phone: 8037735227

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420070 TUOMEY HEALTHCARE SYSTEM

Other Locations

Address Phone Organization
325 Broad St, Suite 100, Sumter, SC 29150-4167 8037735227 COLONIAL FAMILY PRACTICE LLC

Organization Information

Organization Legal Name COLONIAL FAMILY PRACTICE LLC
Physicians 37

Physicians with the same organization

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

Office Location

Street Address 325 BROAD ST
SUITE 100
City SUMTER
State SC
Zip 29150-4167

Physicians in the same location

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
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Physicians in the same zip code

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
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Competitor

Search similar physicians

City SUMTER
Zip Code 29150
Specialty PHYSICIAN ASSISTANT
City + Specialty SUMTER + PHYSICIAN ASSISTANT

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Dataset Information

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.

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