COLONIAL FAMILY PRACTICE LIBERTY STREET LOCATION
NPI 1225687338
Family Medicine in Sumter, SC
About Colonial Family Practice Liberty Street Location NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLONIAL FAMILY PRACTICE LIBERTY STREET LOCATION (NPI 1225687338) is a healthcare organization registered as a family medicine in Sumter, South Carolina and active in the NPI registry since September 2019. The organization lists Stephanie Knight Disher, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Group Practice 1
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 Liberty Street 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 Liberty Street Location, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 23 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 82Sumter, SC 29150
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1225687338. It was assigned to this organization in the NPPES registry on September 11, 2019. The provider is doing business as Colonial Family Practice Liberty Street Location.
Where is Colonial Family Practice, LLC located?
Colonial Family Practice, LLC is located at 674 W Liberty St, 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.
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 at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Colonial Family Practice, LLC was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Liberty Street Location · NPI 1225687338
Family Medicine organization in Sumter, South Carolina. Organization record, active in the CMS NPPES registry since September 11, 2019.
## Identity
- **NPI:** 1225687338 (Entity type: Organization)
- **Enumerated:** September 11, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Colonial Family Practice, Llc
- **Organization subpart:** No
- **Authorized official:** Stephanie Disher, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 674 W LIBERTY ST, Sumter, SC 29150-4882
- **Phone:** (803) 773-5227
## 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 at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1225687338/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1225687338) · Data from the CMS NPPES public registry.