Colonial Family Practice, LLC
NPI 1336810175 · Child & Adolescent Psychiatry Physician · Sumter, SC
Colonial Family Practice, LLC is a Child & Adolescent Psychiatry Physician organization in Sumter, SC (NPI 1336810175).
Provider details
- NPI number
- 1336810175
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Colonial Family Practice, LLC
- Organization subpart
- Yes
- Authorized official
- Stephanie Disher, Credentialing Manager(803) 773-5227
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Colonial Behavioral Health
Registry dates
- Enumerated
- 2021-09-22
- Last updated
- 2021-09-22
- Certified
- 2021-09-03
Frequently asked questions
- What is Colonial Family Practice, LLC's NPI number?
- Colonial Family Practice, LLC's National Provider Identifier (NPI) is 1336810175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colonial Family Practice, LLC?
- Colonial Family Practice, LLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Colonial Family Practice, LLC located?
- Colonial Family Practice, LLC's practice location on file with NPPES is 696 Bultman Dr., Sumter, SC 29150-2549.
- What is Colonial Family Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Colonial Family Practice, LLC is (803) 773-5227.
- Who is the authorized official for Colonial Family Practice, LLC?
- The authorized official listed on Colonial Family Practice, LLC's NPPES record is Stephanie Disher, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colonial Family Practice, LLC's NPI active?
- Yes — Colonial Family Practice, LLC's NPI (1336810175) is active in the NPPES registry as of the last update on 2021-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.