PRIMARY CARE AT SANTEE COOPER
NPI 1508302308
Family Medicine in Manning, SC

Q: What is Colonial Family Practice, LLC's NPI number?

The NPI number for Colonial Family Practice, LLC is 1508302308. It was assigned to this organization in the NPPES registry on January 17, 2017. The provider is doing business as Primary Care At Santee Cooper.

Q: What is Colonial Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 17, 2017CLIA 42D2092972 · Waiver

1013 PROFESSIONAL CT, SUITE C, MANNING, SC 29102(803) 433-7444(803) 418-0202 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Primary Care At Santee Cooper NPPES

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

PRIMARY CARE AT SANTEE COOPER (NPI 1508302308) is a healthcare organization registered as a family medicine in Manning, South Carolina and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Brad Mcintosh, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508302308

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLONIAL FAMILY PRACTICE, LLC

Location Address1013 PROFESSIONAL CT, SUITE CManning, SC 29102-2827

Mailing Address1013 Professional Ct, Suite CManning, SC 29102-2827 · (803) 433-7444 · Fax (803) 418-0202

Phone(803) 433-7444

Fax(803) 418-0202

Organization SubpartNo

Authorized OfficialBrad McintoshOffice Manager · (803) 433-7444

Enumeration DateJanuary 17, 2017

✔ NPI 1508302308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1013 PROFESSIONAL CT, Manning, SC 29102

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Other Names 1

Doing Business AsPrimary Care At Santee Cooper

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 42D2092972

Primary Care At Santee Cooper · Manning, SC

Active · expires Mar 16, 2027

CLIA Number42D2092972

Laboratory TypePhysician Office

Certificate Effective DateMarch 17, 2025

Certificate Expiration DateMarch 16, 2027

Laboratory DirectorWilliam G. Aldrich

Laboratory Phone(803) 773-5227

Laboratory LocationPrimary Care At Santee Cooper1013 Professional Court, Suite C, Manning, SC 29102

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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.

GINA G WILSON FNP

Nurse Practitioner (Family)

1013 PROFESSIONAL CT
MANNING, SC 29102

Clarendon County (803) 433-7444

COLONIAL FAMILY PRACTICE, LLC

Family Medicine

1013 PROFESSIONAL CT, SUITE A
MANNING, SC 29102

Clarendon County (803) 433-7425

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 1508302308. It was assigned to this organization in the NPPES registry on January 17, 2017. The provider is doing business as Primary Care At Santee Cooper.

Where is Colonial Family Practice, LLC located?

Colonial Family Practice, LLC is located at 1013 Professional Ct Suite C, Manning, SC 29102. The listed phone number is (803) 433-7444.

What is Colonial Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Colonial Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2092972) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.