Individual provider Active NPI

Ike Christopher Stewart, M.D.

  • Family Medicine Physician
  • Sumter, SC
National Provider Identifier
1255340329
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27925 Issued in SC
Practice address
308 W Wesmark Blvd
Sumter, SC 29150-1977
Phone
(803) 773-5227
Fax
(803) 774-3224
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27925 SC Primary

Addresses

Primary practice location

308 W Wesmark Blvd
Sumter, SC 29150-1977

Mailing address

325 Broad St Ste 100
Sumter, SC 29150-4167
Phone (803) 773-5227

Other identifiers 2

IdentifierTypeStateIssuer
279255MedicaidSC
P00474993OtherSCRR MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000716 SC Practitioner - Family PracticePractitioner - Emergency Medicine 4082641931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

308 W Mark Blvd
Sumter, SC 29150-1977
Phone (803) 773-5227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC Family Medicine Current Accepting new patients
Colonial Family Practice, LLC Family Medicine CurrentSince Jan 16, 2008 Accepting new patients
Colonial Family Practice - Manning Family Medicine Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Family Medicine Past Accepting new patients

Locations

1124 Little St
Camden, SC 29020
Phone (803) 432-9899

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

1013 Professional Ct
Ste C
Manning, SC 29102
Phone (803) 433-7425

1036 Professional Ct
Manning, SC 29102
Phone (803) 433-5220

325 Broad St
Ste 200
Sumter, SC 29150
Phone (803) 775-4469

325 Broad St
Sumter, SC 29150

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

308 W Wesmark Blvd
Sumter, SC 29150
Phone 80377352271013

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013

742 W Liberty St
Sumter, SC 29150
Phone (803) 773-3391

325 Broad St
Ste 100
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: ike.stewart@colonialhealthcare.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1255340329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BROAD ST STE 100",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504167",
            "telephone_number": "803-773-5227",
            "fax_number": "803-774-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-773-5227",
            "fax_number": "803-774-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "IKE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279255",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00474993",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.