COLONIAL FAMILY PRACTICE CAMDEN LOCATION
NPI 1033402599
Family Medicine in Camden, SC
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colonial Family Practice Camden Location is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Colonial Family Practice Camden Location, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 82Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 7
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, SCCertificate of Compliance 42D0919829
Colonial Family Practice · Sumter, SCCertificate of Waiver 42D2053993
Colonial Family Practice, LLC Dba Colonial Sports Sports Medicine Joint & Arthritis Clinic · Sumter, SCCertificate for Provider-Performed Microscopy Procedures (PPMP) 42D2011235
Colonial Family Practice Wesmark · Sumter, SCCertificate of Accreditation 42D2192288
Colonial Family Practice · Sumter, SCCertificate of Waiver 42D0903300
Colonial Family Practice-Manning · Manning, SCFrequently 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.
Is Colonial Family Practice, LLC enrolled in Medicare?
Yes. Colonial Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colonial Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 8 Medicare specialties reassign their Medicare billing to Colonial Family Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (31), Nurse Practitioner (25) and Family Practice (17). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Colonial Family Practice Camden Location · NPI 1033402599
Family Medicine organization in Camden, South Carolina. Organization record, active in the CMS NPPES registry since May 17, 2011.
## Identity
- **NPI:** 1033402599 (Entity type: Organization)
- **Enumerated:** May 17, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Colonial Family Practice, Llc
- **Organization subpart:** Yes (part of Colonial Family Practice, Llc)
- **Authorized official:** Stephanie Disher, CREDENTIALING MANAGER
## Practice location
- **Address:** 1124 LITTLE ST, Camden, SC 29020-3613
- **Phone:** (803) 773-5227 · **Fax:** (803) 774-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 82 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (31), Nurse Practitioner (25), Family Practice (17); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1033402599/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2021
- **CLIA laboratory certificates:** 7 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033402599) · Data from the CMS NPPES public registry.