COLONIAL FAMILY PRACTICE, LLC
NPI 1336725209
Family Medicine in Eastover, SC

Active since March 22, 2021
10441 GARNERS FERRY RD, EASTOVER, SC 29044(803) 773-5227 Get Directions Write a Review

NPPES record last updated: March 22, 2021. 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 1336725209), doing business as Colonial Family Practice Garners Ferry, is a healthcare organization registered as a family medicine in Eastover, South Carolina and active in the NPI registry since March 2021. The organization lists Stephanie Knight Disher, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1336725209
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLONIAL FAMILY PRACTICE, LLC
Location Address10441 GARNERS FERRY RDEastover, SC 29044-9351
Mailing Address674 W Liberty StSumter, SC 29150-4882 · (803) 773-5227 · Fax (803) 757-4010
Organization SubpartYes
Authorized OfficialStephanie Knight DisherCredentialing Manager · (803) 773-5227
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1336725209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
10441 GARNERS FERRY RD, Eastover, SC 29044

Other Names 1

Doing Business AsColonial Family Practice Garners Ferry

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

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 1336725209. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as Colonial Family Practice Garners Ferry.

Where is Colonial Family Practice, LLC located?

Colonial Family Practice, LLC is located at 10441 Garners Ferry Rd, Eastover, SC 29044. 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 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.