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COLONIAL FAMILY PRACTICE CAMDEN LOCATION
NPI 1033402599
Family Medicine in Camden, SC

Active since May 17, 2011CLIA Certified · 7 labs
1124 LITTLE ST, CAMDEN, SC 29020(803) 773-5227(803) 774-5400 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 22, 2021, Aug 20, 2019, Jun 20, 2019 (3 updates tracked since 2019).

About Colonial Family Practice Camden Location NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLONIAL FAMILY PRACTICE CAMDEN LOCATION (NPI 1033402599) is a healthcare organization registered as a family medicine in Camden, South Carolina and active in the NPI registry since May 2011. The organization holds 7 active CLIA laboratory certificates and lists Stephanie Knight Disher, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1033402599
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLONIAL FAMILY PRACTICE, LLC
Location Address1124 LITTLE STCamden, SC 29020-3613
Mailing Address325 Broad St, Suite 100Sumter, SC 29150-4167 · (803) 773-5227 · Fax (803) 774-5400
Phone(803) 773-5227
Fax(803) 774-5400
Organization SubpartYes
Authorized OfficialStephanie Knight DisherCredentialing Manager · (803) 773-5227
Enumeration DateMay 17, 2011
Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1033402599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1124 LITTLE ST, Camden, SC 29020
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Other Names 1

Doing Business AsColonial Family Practice Camden Location

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2174781

Colonial Family Practice Camden · Camden, SC
Active · expires Nov 6, 2027
CLIA Number42D2174781
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorClayton Lowder
Laboratory Phone(803) 773-5227
Laboratory LocationColonial Family Practice Camden1124 Little Street, Camden, SC 29020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 42D0919829

Colonial Family Practice · Sumter, SC
Active · expires Oct 5, 2027
CLIA Number42D0919829
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorThomas L. Lucas
Laboratory Phone(803) 773-5227
Laboratory LocationColonial Family Practice325 Broad Street, Sumter, SC 29150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 42D2053993

Colonial Family Practice, LLC Dba Colonial Sports Sports Medicine Joint & Arthritis Clinic · Sumter, SC
Active · expires Feb 11, 2027
CLIA Number42D2053993
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorAndrew Mcmarlin
Laboratory Phone(803) 773-5227
Laboratory LocationColonial Family Practice, LLC Dba Colonial Sports Sports Medicine Joint & Arthritis Clinic325 Broad St Suite 200, Sumter, SC 29150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 42D2192288

Colonial Family Practice · Sumter, SC
Active · expires Apr 19, 2028
CLIA Number42D2192288
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorDr. Thomas Lucas
Laboratory Phone(803) 773-5227
Laboratory LocationColonial Family Practice674 W Liberty Street, Sumter, SC 29150
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 42D0903300

Colonial Family Practice-Manning · Manning, SC
Active · expires Nov 20, 2027
CLIA Number42D0903300
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorWilliam C. Aldrich MD
Laboratory Phone(803) 773-5227
Laboratory LocationColonial Family Practice-Manning1036 Professional Court, Manning, SC 29102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2010560

Colonial Family Practice-Location 4 · Columbia, SC
Active · expires Mar 4, 2027
CLIA Number42D2010560
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorClayton R. Lowder
Laboratory Phone(803) 773-5227
Laboratory LocationColonial Family Practice-Location 44700 Forest Drive, Columbia, SC 29206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colonial Family Practice, LLC's NPI number?

The NPI number for Colonial Family Practice, LLC is 1033402599. It was assigned to this organization in the NPPES registry on May 17, 2011. The provider is doing business as Colonial Family Practice Camden Location.

Where is Colonial Family Practice, LLC located?

Colonial Family Practice, LLC is located at 1124 Little St, Camden, SC 29020. The listed phone number is (803) 773-5227.

What is Colonial Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Colonial Family Practice, LLC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Colonial Family Practice, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Colonial Family Practice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colonial Family Practice, LLC was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.