Colonial Family Practice - Manning
NPI 1689006652ActiveOrganization· Family Medicine· Manning, SC
Family Medicine in Manning, South Carolina, registered in NPPES in August 2013, part of Colonial Family Practice, LLC. The authorized official on file is Stephanie Knight Disher, Credentialing Manager.
Overview
| NPI | 1689006652 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colonial Family Practice, LLC |
| NPI issued | Aug 1, 2013 |
| Last updated in NPPES | Mar 22, 2021 |
| Certified by provider | Mar 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 13915 | SC |
| Family Medicine | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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 |
|---|
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