NPIMap

Colonial Family Practice LLC

A Medicare group practice based in Sumter, SC: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 9931017118), with 88 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931017118The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
2
Group size
58 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
12In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20120104000697 SC DME Supplier - Physician - General Practice 1518074640
O20040727000107 SC Part B Supplier - Clinic/Group Practice 1518074640

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 88

Clinicians who reassign their Medicare benefits to this group (88) or whom Care Compare lists as members (58).

Sources for this page