COLONIAL FAMILY PRACTICE LLC NPI 1770908261

NPI Information

  • NPI: 1770908261
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: CFP FOREST ACRES 101
  • Address: 4700 FOREST DR
    SUITE 101
    COLUMBIA, SC
    ZIP 29206
  • Phone: (803) 256-1511

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is a family medicine in Columbia, 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 1770908261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cfp Forest Acres 101.

The provider's business location address is:

4700 FOREST DR
SUITE 101
COLUMBIA, SC
ZIP 29206
Phone: (803) 256-1511
Fax: (803) 256-7333

The provider's authorized official is David Glenn Whaley .
The authorized official title is Partner and has the following contact phone number (803) 773-5227.

The enumeration date for this NPI number is 2/20/2014 and was last updated on 10/2/2019.

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
1363A00000XPhysician AssistantSOUTH CAROLINANo
2207Q00000XFamily MedicineSOUTH 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
1GP 3564MEDICAIDSOUTH 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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