Individual provider Active NPI

Lawrence Adam Sawicki, D.O

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1134579048
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39348 Issued in SC
Practice address
853 N Church St Ste 701
Spartanburg, SC 29303-3003
Phone
(864) 560-1650
Fax
(864) 560-1655
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LL39348 SC
Family Medicine Physician 207Q00000X 39348 SC Primary

Addresses

Primary practice location

853 N Church St Ste 701
Spartanburg, SC 29303-3003

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 2

IdentifierTypeStateIssuer
393490MedicaidSC
SCK2405019OtherSCMEDICARE 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
I20210610000400 SC Practitioner - Family Practice 3072801646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

853 N Church St
Suite 701
Spartanburg, SC 29303-3003
Phone (864) 560-1650

Hospital & facility affiliations

  • Spartanburg Regional Home Health Home health agency, Spartanburg, SC, CCN 427024
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39348SCMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

853 N Church St
Ste 701
Spartanburg, SC 29303
Phone (864) 560-1650

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

11 Doctors Park Dr
Ste 200
Spartanburg, SC 29307
Phone (864) 573-3634

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1134579048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 N CHURCH ST STE 701",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033003",
            "telephone_number": "864-560-1650",
            "fax_number": "864-560-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWICKI",
        "first_name": "LAWRENCE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL39348",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393490",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK2405019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.