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Colonial Family Practice, LLC

Child & Adolescent Psychiatry Physician in Sumter, SC · enumerated 2021 · authorized official Stephanie Disher, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336810175

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Registry record

Entity type Organization (Type 2)
Legal business name Colonial Family Practice, LLC
Parent organization Colonial Family Practice, LLC
Practice address 696 Bultman Dr., Sumter, SC, 29150
Phone (803) 773-5227
Enumeration date Sep 22, 2021
Last updated in NPPES Sep 22, 2021

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Stephanie Disher
Title Credentialing Manager
Phone (803) 773-5227

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Colonial Family Practice, LLC?
Colonial Family Practice, LLC is registered in NPPES as a Child & Adolescent Psychiatry Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-22.