Individual provider Active NPI

Tracy Barwick McIntosh

  • Family Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1700456837
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25136 Issued in SC
Practice address
625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone
(803) 469-7950
Fax
(803) 469-7521
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25136 SC Primary

Addresses

Primary practice location

625 W Wesmark Blvd
Sumter, SC 29150-1900

Mailing address

PO Box 23321
New York, NY 10087-4321
Phone (843) 792-1414

Other practice location 1

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827001124 SC Practitioner - Nurse Practitioner 6901201078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

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

625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25136SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC Family CurrentSince Jul 13, 2021 Accepting new patients
Musc Community Physicians CurrentSince Feb 17, 2026 Accepting new patients
Musc Community Physicians CurrentSince Feb 17, 2026 Accepting new patients
Colonial Family Practice, LLC Family CurrentSince Jul 13, 2021 Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Family Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice - Manning Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family 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
Sumter, SC 29150

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

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

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

625 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

308 W Wesmark Blvd
Sumter, SC 29150
Phone 80377352271013

Interoperability endpoints

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

Organizations & group practices 16

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 16

Hospital & facility affiliations 7

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1700456837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321",
            "telephone_number": "843-792-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7950",
            "fax_number": "803-469-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Broad St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504167",
            "country_code": "US",
            "telephone_number": "803-773-5227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "TRACY",
        "middle_name": "BARWICK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.