1. Home
  2. Directory
  3. South Carolina
  4. Sumter
  5. Family Medicine
  6. NPI Profile

COLONIAL FAMILY PRACTICE, LLC
NPI 1174257067
Family Medicine in Sumter, SC

Active since July 15, 2022
325 BROAD ST STE 200, SUMTER, SC 29150(803) 773-5227(803) 418-0202 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colonial Family Practice, Llc NPPES

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

COLONIAL FAMILY PRACTICE, LLC (NPI 1174257067), doing business as Colonial Family Practice, is a healthcare organization registered as a family medicine in Sumter, South Carolina and active in the NPI registry since July 2022. The organization lists Stephanie Knight Disher, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1174257067
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLONIAL FAMILY PRACTICE, LLC
Location Address325 BROAD ST STE 200Sumter, SC 29150-4167
Mailing Address674 W Liberty StSumter, SC 29150-4882 · (803) 773-5227 · Fax (803) 757-4010
Phone(803) 773-5227
Fax(803) 418-0202
Organization SubpartYes
Authorized OfficialStephanie Knight DisherCredentialing Manager · (803) 773-5227
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1174257067 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 Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
325 BROAD ST STE 200, Sumter, SC 29150
Open in Google Maps ↗

Other Names 1

Doing Business AsColonial Family Practice

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLONIAL FAMILY PRACTICE, LLC
Family Medicine (Sports Medicine)
325 BROAD ST STE 200
SUMTER, SC 29150
Sumter County (803) 773-5227
MRS. MARY KATHLEEN COX FNP-C
Nurse Practitioner (Family)
325 BROAD ST STE 200
SUMTER, SC 29150
Sumter County (803) 773-5227

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 1174257067. It was assigned to this organization in the NPPES registry on July 15, 2022. The provider is doing business as Colonial Family Practice.

Where is Colonial Family Practice, LLC located?

Colonial Family Practice, LLC is located at 325 Broad St Ste 200, Sumter, SC 29150. 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.

When was this NPI record last updated?

The NPPES record for Colonial Family Practice, LLC was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.