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Colonial Family Practice, LLC

Q: What type of organization is Colonial Family Practice, LLC?

Colonial Family Practice, LLC is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).

Emergency Medicine Physician in Sumter, SC · enumerated 2019 · authorized official Stephanie Disher, Credentialing Specialist.

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

National Provider Identifier

1912541814

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Registry record

Entity type Organization (Type 2)

Legal business name Colonial Family Practice, LLC

Other name <Unavail>

Parent organization Colonial Family Practice, LLC

Practice address 327 Broad St, Sumter, SC, 29150

Phone (803) 773-5227

Fax (803) 418-0202

Enumeration date Nov 4, 2019

Last updated in NPPES Aug 8, 2023

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207QS1201X Sleep Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary

207ZC0006X Clinical Pathology Physician Allopathic & Osteopathic Physicians Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Stephanie Disher

Title Credentialing Specialist

Phone (803) 773-5227

Other identifiers

Identifier	Type	State	Issuer
GP3564	Medicaid	SC	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

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.

What type of organization is Colonial Family Practice, LLC?

Colonial Family Practice, LLC is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).

Providers at this address

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Kiersten Willimas Urgent Care Clinic/Center · Sumter, SC NPI 1053284661

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-08.