COLONIAL PEDIATRICS
NPI 1851547640
Pediatrics in Sumter, SC
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
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 Pediatrics 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 Pediatrics, 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.
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, SCFrequently 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.
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.
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.
# Colonial Pediatrics · NPI 1851547640
Pediatrics organization in Sumter, South Carolina. Organization record, active in the CMS NPPES registry since August 12, 2008.
## Identity
- **NPI:** 1851547640 (Entity type: Organization)
- **Enumerated:** August 12, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Colonial Family Practice, Llc
- **Organization subpart:** Yes (part of Colonial Family Practice, Llc)
- **Authorized official:** Stephanie Disher, CREDENTIALING MANAGER
## Practice location
- **Address:** 742 W LIBERTY ST, Sumter, SC 29150-4746
- **Phone:** (803) 773-5227 · **Fax:** (803) 774-5400
## 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/1851547640/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2021
- **Other identifiers:** Medicaid GP3564 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851547640) · Data from the CMS NPPES public registry.