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Colonial Family Practice, LLC

Family Medicine Physician in Sumter, SC · enumerated 2014 · authorized official Stephanie Disher, Credentialing Specialist.

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

National Provider Identifier

1497178131

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Registry record

Entity type Organization (Type 2)
Legal business name Colonial Family Practice, LLC
Other name <Unavail>
Practice address 698 Bultman Dr, Suite A, Sumter, SC, 29150
Phone (803) 773-5227
Fax (803) 753-9312
Enumeration date Jan 31, 2014
Last updated in NPPES Dec 15, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 17676 (SC) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
GP3564 Medicaid SC -
42D2126583 Other SC CLIA

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-15. Verify at npiregistry.cms.hhs.gov.
Where is Colonial Family Practice, LLC located?
The practice location on file with NPPES is in Sumter, SC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-15.