Colonial Family Practice, LLC
NPI 1851547640ActiveOrganization· Pediatrics· Sumter, SC
Pediatrics in Sumter, South Carolina, registered in NPPES in August 2008, part of Colonial Family Practice, LLC. The authorized official on file is Stephanie Knight Disher, Credentialing Manager.
Overview
| NPI | 1851547640 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colonial Family Practice, LLC |
| NPI issued | Aug 12, 2008 |
| Last updated in NPPES | Mar 22, 2021 |
| Certified by provider | Mar 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 3004950 | SC |
| Counselor, Professional | 101YP2500X | 5499 | SC |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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