Malcolm L. Marion III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8859 Issued in SC

Practice address

1435 Ebenezer Rd
Rock Hill, SC 29732-2338

Phone

(803) 328-3828

Fax

(803) 328-3879

NPI assigned

Aug 3, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205837952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7840",
            "fax_number": "700-438-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322338",
            "telephone_number": "803-328-3828",
            "fax_number": "803-328-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "MALCOLM",
        "middle_name": "L.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088595",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmarion40911@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1435 Ebenezer Rd",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Marcotte
• Amy W Marenick, M.ED., N.C.C., L.P.C
• Margaret H. McFadden Counseling, LLC
• Margaret Healthcare
• Kaden Marinovich
• Mark G. Kimble, D.C. PA (Kimble Chiropractic Center)
• Mark Klopenstine P.C. (Shiland Dentistry)
• Angel Marko
• Sherri Hammersmith Marlow
• Lynda Michelle Marovich, MSN, APRN, FNP-C

• Family Medicine Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.