COLONIAL FAMILY PRACTICE COLUMBIA
NPI 1902229214
Family Medicine in Columbia, SC

Active since January 23, 2014
4700 FOREST DR, COLUMBIA, SC 29206(803) 773-5227 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colonial Family Practice Columbia NPPES

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

COLONIAL FAMILY PRACTICE COLUMBIA (NPI 1902229214) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since January 2014. The organization lists Stephanie Knight Disher, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1902229214
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER
Location Address4700 FOREST DRColumbia, SC 29206
Mailing Address325 Broad St, Suite 100Sumter, SC 29150-4167 · (803) 773-5227 · Fax (803) 753-9121
Organization SubpartYesParent: Colonial Family Practice, Llc
Authorized OfficialStephanie Knight DisherCredentialing Manager · (803) 773-5227
Enumeration DateJanuary 23, 2014
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1902229214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 25518
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 ListedEmergency MedicineTaxonomy 207P00000X · License 28747 (SC)
Also ListedClinic/Center · EndoscopyTaxonomy 261QE0800X · License 17676 (SC)
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Magnetic Resonance Imaging (MRI)Taxonomy 261QM1200X · License 07-6916 GLENN GOUDY (SC)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4700 FOREST DR, Columbia, SC 29206

Other Names 1

Doing Business AsColonial Family Practice Columbia

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

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 Family Practice Columbia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

82

Medicare enrollment records show 82 clinicians reassign Medicare billing to Colonial Family Practice Columbia, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Diagnostic Radiology31
Nurse Practitioner25
Family Practice17
Cardiovascular Disease (Cardiology)3
Anesthesiology2
Neurology2
Emergency Medicine1
Obstetrics/Gynecology1

Nearest to this location (20)

See all 82
Family Practice
NPI 1295791184
4700 FOREST DR SUITE 101
Columbia, SC 29206
(803) 773-5227
✔ PECOSSame address
Nurse Practitioner
NPI 1689439929
1601 GREENE ST
Columbia, SC 29208
(803) 777-7412
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1023576139
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1194264465
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1134774607
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare3.8 mi
Emergency Medicine
NPI 1780663914
732 SOUTHLAKE RD
Columbia, SC 29223
(803) 419-5142
✔ PECOS7.4 mi
Nurse Practitioner
NPI 1881204899
3041 OLD EASTOVER RD
Eastover, SC 29044
(803) 353-8741
✔ PECOS15 mi
Nurse Practitioner
NPI 1063898500
2010 W DEKALB ST
Camden, SC 29020
(803) 272-0500
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1801271465
641 W WESMARK BLVD
Sumter, SC 29150
(803) 905-6944
✔ PECOS33 mi
Nurse Practitioner
NPI 1700456837
625 W WESMARK BLVD
Sumter, SC 29150
(803) 469-7950
✔ PECOS33 mi
Family Practice
NPI 1972964302
308 W WESMARK BLVD
Sumter, SC 29150
(803) 773-5227
✔ PECOS34 mi
Family Practice
NPI 1932195559
308 W WESMARK BLVD
Sumter, SC 29150
(803) 773-5227
✔ PECOS34 mi
Family Practice
NPI 1255340329
308 W WESMARK BLVD
Sumter, SC 29150
(803) 773-5227
✔ PECOS34 mi
Neurology
NPI 1598922130
385 W WESMARK BLVD
Sumter, SC 29150
(803) 774-8240
✔ PECOS34 mi
Nurse Practitioner
NPI 1932868601
304 W WESMARK BLVD
Sumter, SC 29150
(803) 773-5227
✔ PECOS34 mi
Nurse Practitioner
NPI 1063173383
696 BULTMAN DR.
Sumter, SC 29150
(803) 848-0500
✔ PECOS35 mi
Anesthesiology
NPI 1396775334
325 BROAD ST STE 200
Sumter, SC 29150
(803) 773-5227
✔ PECOS36 mi
Anesthesiology
NPI 1013913813
215 W HAMPTON AVE
Sumter, SC 29150
(803) 773-5227
✔ PECOS✔ Accepts Medicare37 mi
Obstetrics/Gynecology
NPI 1881689305
12 W SOUTH ST
Manning, SC 29102
(803) 433-4321
✔ PECOS52 mi
Neurology
NPI 1861985962
1350 WALTON WAY
Augusta, GA 30901
(706) 774-5795
✔ PECOS✔ Accepts Medicare69 mi
See all 82 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 & Ambulatory Care Center's NPI number?

The NPI number for Colonial Family Practice & Ambulatory Care Center is 1902229214. It was assigned to this organization in the NPPES registry on January 23, 2014. The provider is doing business as Colonial Family Practice Columbia.

Where is Colonial Family Practice & Ambulatory Care Center located?

Colonial Family Practice & Ambulatory Care Center is located at 4700 Forest Dr, Columbia, SC 29206. The listed phone number is (803) 773-5227.

What is Colonial Family Practice & Ambulatory Care Center's specialty?

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

Is Colonial Family Practice & Ambulatory Care Center enrolled in Medicare?

Yes. Colonial Family Practice & Ambulatory Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colonial Family Practice & Ambulatory Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 8 Medicare specialties reassign their Medicare billing to Colonial Family Practice & Ambulatory Care Center. 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 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Colonial Family Practice & Ambulatory Care Center accept?

Health plans from BlueCross BlueShield of South Carolina list Colonial Family Practice & Ambulatory Care Center 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 & Ambulatory Care Center 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.