Carmen Leticia Dominguez, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

95305 Issued in SC

Practice address

325 Broad St Ste 200
Sumter, SC 29150-4167

Phone

(803) 773-5227

Fax

(803) 418-0202

NPI assigned

Jul 4, 2006

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

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

• Colonial Family Practice, LLC

  dba Colonial Family Practice

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1518074640

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Florida Health Care Plan, Inc

  dba Florida Health Care Plans Inc.

  • Preferred Provider Organization
  • Daytona Beach, FL
  • NPI 1558302042
  Medicare reassignment NPD
• Colonial Family Practice, LLC

  dba Colonial Family Practice Liberty Street Location

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1225687338
  NPD
• Florida Health Care Plan, Inc

  dba FHCP ASC - Orange City

  • Ambulatory Surgical Clinic/Center
  • Orange City, FL
  • NPI 1659759827
  NPD
• Colonial Family Practice - Manning

  • Family Medicine Physician
  • Manning, SC
  • NPI 1689006652
  NPD (past)
• Colonial Family Practice & Ambulatory Care Center

  dba Colonial Family Practice Columbia

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1902229214
  NPD (past)
• Colonial Family Practice, LLC

  dba Colonial Family Practice Camden Location

  • Family Medicine Physician
  • Camden, SC
  • NPI 1033402599
  NPD (past)
• Colonial Family Practice, LLC

  dba Colonial Neurology and Sleep Lab

  • Neurology Physician
  • Sumter, SC
  • NPI 1164833026
  NPD (past)
• Colonial Family Practice, LLC

  dba Santee Cooper Urgent Care

  • Family Medicine Physician
  • Manning, SC
  • NPI 1467999326
  NPD (past)
• Colonial Family Practice, LLC

  dba Colonial Family Practice Wesmark

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1497060719
  NPD (past)
• Colonial Family Practice, LLC

  dba Primary Care at Santee Cooper

  • Family Medicine Physician
  • Manning, SC
  • NPI 1508302308
  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1730352857
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1396775334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9671",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321209671",
            "telephone_number": "386-676-7130",
            "fax_number": "386-676-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROAD ST STE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504167",
            "telephone_number": "803-773-5227",
            "fax_number": "803-418-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 North Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142733",
            "country_code": "US",
            "telephone_number": "386-238-3226",
            "fax_number": "386-238-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CARMEN",
        "middle_name": "LETICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA07822000",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "95305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01076",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1396775334",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278835700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "953052",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01061992",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctors Care SC, PA (Doctors Care Sumter)
• Doctors Eye Center, PA
• Amanda Dodge, BCABA
• Ebony La'Toya Dollard
• Emilee Caroline Dollard
• Shaquinda Addreina Dowdle, DNP, APRN, CNM
• Deneia Lakeshia Dozier, BIRTHING DOULA
• Joemella Chrissherrea Dozier
• Michael K Drakeford, M.D.
• Dream Academy of SC

• Pain Medicine (Anesthesiology) Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Pain Medicine (Anesthesiology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.