Family Medicine
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1902229214 · enumerated 2014-01-23 · record updated 2021-03-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: STEPHANIE DISHER, Credentialing Manager · (803) 773-5227
Other names: COLONIAL FAMILY PRACTICE COLUMBIA
Addresses and phones
- Practice location 4700 FOREST DR, COLUMBIA, SC, 29206 (803) 773-5227 Google Maps Apple Maps OpenStreetMap
- Mailing address 325 BROAD ST, SUITE 100, SUMTER, SC, 29150-4167 (803) 773-5227 Fax (803) 753-9121 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License 28747 SC
- Clinic/Center, Endoscopy 261QE0800X · License 17676 SC
- Clinic/Center, Health Services 261QH0100X
- Clinic/Center, Magnetic Resonance Imaging (MRI) 261QM1200X · License 07-6916 Glenn Goudy SC
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X
- Nurse Practitioner, Family 363LF0000X
- Family Medicine 207Q00000X · Primary · License 25518 SC
In this directory
Locations and evidence
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Practice location
COLUMBIA, SC, 29206
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.