Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colonial Family Practice, LLC

Organization Emergency Medicine Physician · NPI 1912541814

Colonial Family Practice, LLC is an Emergency Medicine Physician in Sumter, South Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
13
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

327 Broad St
Sumter, SC 29150-4152
Phone: (803) 773-5227
Fax: (803) 418-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X
Clinical Pathology Physician Taxonomy 207ZC0006X
Neurology Physician Taxonomy 2084N0400X
General Practice Physician Taxonomy 208D00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1912541814
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Stephanie Disher — Credentialing Specialist · (803) 773-5227
Other names Colonial Urgent Care; Colonial Urgent Care
NPI enumeratedNovember 4, 2019
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address325 Broad St Ste 100, Sumter, SC 29150-4167

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