COLONIAL FAMILY PRACTICE LLC NPI 1518074640

NPI Information

  • NPI: 1518074640
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL FAMILY PRACTICE
  • Address: 325 BROAD ST. STE 100
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is a family medicine in Sumter, SC. The provider is 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. COLONIAL FAMILY PRACTICE, LLC NPI is 1518074640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colonial Family Practice.

The provider's business location address is:

325 BROAD ST. STE 100
SUMTER, SC
ZIP 29150-167
Phone: (803) 773-5227
Fax: (803) 746-7445

The provider's authorized official is Clayton R Lowder .
The authorized official title is Md/ceo and has the following contact phone number (803) 773-5227.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 10/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor5499SOUTH CAROLINANo
2207L00000XAnesthesiology356SOUTH CAROLINANo
3207LP2900XAnesthesiologyPain MedicineNo
4207QS1201XFamily MedicineSleep Medicine25247SOUTH CAROLINANo
5207R00000XInternal Medicine445SOUTH CAROLINANo
6208000000XPediatrics29909SOUTH CAROLINANo
72084N0400XPsychiatry & NeurologyNeurology33281SOUTH CAROLINANo
8208600000XSurgery17676SOUTH CAROLINANo
9208D00000XGeneral PracticeNo
10208VP0000XPain MedicinePain MedicineNo
11332B00000XDurable Medical Equipment & Medical SuppliesNo
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
14363LF0000XNurse PractitionerFamilyNo
15207Q00000XFamily Medicine1013679SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP6276MEDICAIDSOUTH CAROLINA
2GP6464MEDICAIDSOUTH CAROLINA
3GP6186MEDICAIDSOUTH CAROLINA
4GP6457MEDICAIDSOUTH CAROLINA
5GP3564MEDICAIDSOUTH CAROLINA
6GP6388MEDICAIDSOUTH CAROLINA
7GP6122MEDICAIDSOUTH CAROLINA
8GP6363MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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