Colonial Family Practice, LLC
NPI 1164833026ActiveOrganization· Psychiatry & Neurology, Neurology· Sumter, SC
Psychiatry & Neurology, Neurology in Sumter, South Carolina, registered in NPPES in May 2014. The authorized official on file is David Glenn Whaley, MD, Partner.
Overview
| NPI | 1164833026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2014 |
| Last updated in NPPES | Feb 12, 2020 |
| Certified by provider | Feb 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | 33821 | SC |
| Family Medicine | 207Q00000X | 25247 | SC |
| Family Medicine, Sleep Medicine | 207QS1201X | — | — |
| Internal Medicine | 207R00000X | 33281 | SC |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
| Radiologic Technologist | 247100000X | 00-8178 | SC |
| Clinic/Center, Sleep Disorder Diagnostic | 261QS1200X | 25247 | SC |
| Physician Assistant, Medical | 363AM0700X | 2006 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychiatry & Neurology, Neurology providers in Sumter
- 1801055173
- 1598922130
- 1619520483
- 1316444151
All Psychiatry & Neurology, Neurology providers in South Carolina →