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COLONIAL PEDIATRICS
NPI 1851547640
Pediatrics in Sumter, SC

Active since August 12, 2008CLIA 42D1089270 · Waiver
742 W LIBERTY ST, SUMTER, SC 29150(803) 773-5227(803) 774-5400 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 Pediatrics NPPES

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

COLONIAL PEDIATRICS (NPI 1851547640) is a healthcare organization registered as a pediatrics in Sumter, South Carolina and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Stephanie Knight Disher, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1851547640
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOLONIAL FAMILY PRACTICE, LLC
Location Address742 W LIBERTY STSumter, SC 29150-4746
Mailing Address325 Broad St, Suite 100Sumter, SC 29150-4167 · (803) 773-5227 · Fax (803) 774-5400
Phone(803) 773-5227
Fax(803) 774-5400
Organization SubpartYes
Authorized OfficialStephanie Knight DisherCredentialing Manager · (803) 773-5227
Enumeration DateAugust 12, 2008
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1851547640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 3004950
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5499 (SC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
742 W LIBERTY ST, Sumter, SC 29150
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Other Names 1

Doing Business AsColonial Pediatrics

Other Identifiers 1

MedicaidGP3564SC

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

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 42D1089270

Colonial Pediatrics · Sumter, SC
Active · expires Nov 7, 2027
CLIA Number42D1089270
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDr. Christopher Mahr MD
Laboratory Phone(803) 619-5718
Laboratory LocationColonial Pediatrics742 West Liberty, Sumter, SC 29150
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.

MS. LESLIE 'DAY' G CAUGHMAN LPC
Counselor (Professional)
742 W LIBERTY ST
SUMTER, SC 29150
Sumter County (803) 773-5227
ELIZABETH BROCKINTON APRN
Nurse Practitioner (Pediatrics)
742 W LIBERTY ST
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 1851547640. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Colonial Pediatrics.

Where is Colonial Family Practice, LLC located?

Colonial Family Practice, LLC is located at 742 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 Pediatrics with taxonomy code 208000000X.

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

Yes. A Certificate of Waiver (number 42D1089270) is associated with this NPI, valid through November 7, 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 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.