COLONIAL FAMILY PRACTICE LLC NPI 1912541814

NPI Information

  • NPI: 1912541814
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL URGENT CARE
  • Address: 327 BROAD ST
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is an emergency medicine in Sumter, SC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. COLONIAL FAMILY PRACTICE, LLC NPI is 1912541814. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colonial Urgent Care.

The provider's business location address is:

327 BROAD ST
SUMTER, SC
ZIP 29150-152
Phone: (803) 773-5227
Fax: (803) 418-0202

The provider's authorized official is Stephanie Knight Disher .
The authorized official title is Credentialing Specialist and has the following contact phone number (803) 773-5227.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 8/8/2023.

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
1207Q00000XFamily MedicineNo
2207QS1201XFamily MedicineSleep MedicineNo
3207ZC0006XPathologyClinical PathologyNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5208D00000XGeneral PracticeNo
6261QU0200XClinic/CenterUrgent CareNo
7363A00000XPhysician AssistantNo
8363L00000XNurse PractitionerNo
9363LA2100XNurse PractitionerAcute CareNo
10363LA2200XNurse PractitionerAdult HealthNo
11363LF0000XNurse PractitionerFamilyNo
12363LP0200XNurse PractitionerPediatricsNo
13207P00000XEmergency MedicineYes

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
1GP3564MEDICAIDSOUTH 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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