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COLONIAL FAMILY PRACTICE, LLC
NPI 1336810175
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sumter, SC

Active since September 22, 2021
696 BULTMAN DR., SUMTER, SC 29150(803) 773-5227 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1336810175), doing business as Colonial Behavioral Health, is a healthcare organization registered as a child & adolescent psychiatry in Sumter, South Carolina and active in the NPI registry since September 2021. The organization lists Stephanie Knight Disher, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1336810175
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameCOLONIAL FAMILY PRACTICE, LLC
Location Address696 BULTMAN DR.Sumter, SC 29150-2549
Mailing Address674 W Liberty StSumter, SC 29150-4882 · (803) 773-5227 · Fax (803) 757-4010
Phone(803) 773-5227
Organization SubpartYes
Authorized OfficialStephanie Knight DisherCredentialing Manager · (803) 773-5227
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1336810175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
696 BULTMAN DR., Sumter, SC 29150
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Other Names 1

Doing Business AsColonial Behavioral Health

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

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

MEGHAN K WACHTER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
696 BULTMAN DR.
SUMTER, SC 29150
Sumter County (803) 848-0500

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 1336810175. It was assigned to this organization in the NPPES registry on September 22, 2021. The provider is doing business as Colonial Behavioral Health.

Where is Colonial Family Practice, LLC located?

Colonial Family Practice, LLC is located at 696 Bultman Dr., 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 Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Colonial Family Practice, LLC was last updated on September 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.