Pediatrics
COLONIAL FAMILY PRACTICE, LLC
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 Plan acceptance stays unpublished until the practice reports it.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 1851547640 · enumerated 2008-08-12 · 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 PEDIATRICS
Addresses and phones
- Practice location 742 W LIBERTY ST, SUMTER, SC, 29150-4746 (803) 773-5227 Fax (803) 774-5400 Google Maps Apple Maps OpenStreetMap
- Mailing address 325 BROAD ST, SUITE 100, SUMTER, SC, 29150-4167 (803) 773-5227 Fax (803) 774-5400 Google Maps Apple Maps OpenStreetMap
Specialties
- Counselor, Professional 101YP2500X · License 5499 SC
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Pediatrics 363LP0200X
- Pediatrics 208000000X · Primary · License 3004950 SC
In this directory
Locations and evidence
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Practice location
SUMTER, SC, 291504746
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.