NPIMap

Individual provider Active NPI

Marc Joseph Fawal, M.D.

  • Obstetrics & Gynecology Physician
  • Walterboro, SC
National Provider Identifier
1497119911
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
85140 Issued in SC
Practice address
302 Medical Park Dr Ste 211
Walterboro, SC 29488-5749
Phone
(843) 549-9568
Fax
(843) 549-1530
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 85140 SC Primary

Addresses

Primary practice location

302 Medical Park Dr Ste 211
Walterboro, SC 29488-5749

Mailing address

302 Medical Park Dr Ste 211
Walterboro, SC 29488-5749
Phone (843) 549-9568

Other practice location 1

219 Bryant St
Buffalo, NY 14222-2006
Phone (716) 878-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001223 SC Practitioner - Obstetrics/Gynecology 2365789716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 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)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

1686 Skylyn Dr
Suite 101
Spartanburg, SC 29307-1079
Phone (864) 585-3456

475 Heywood Ave
Spartanburg, SC 29307-1726
Phone (864) 699-5020

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 28, 2022 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology CurrentSince Feb 28, 2022 Accepting new patients
Spartanburg Medical Center Obstetrics & Gynecology Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

3941 Highway 9
Ste 201
Boiling Springs, SC 29316

1686 Skylyn Dr
Ste 101
Spartanburg, SC 29307
Phone (864) 560-3456

2995 Reidville Rd
Ste 290
Spartanburg, SC 29301
Phone (864) 574-4483

853 N Church St
Ste 600
Spartanburg, SC 29303
Phone (864) 583-4556

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

475 Heywood Ave
Spartanburg, SC 29307
Phone (864) 699-5020

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

1201 Furman L Fendley Hwy
Ste C
Union, SC 29379
Phone (864) 427-8380

Interoperability endpoints

  • Direct secure messaging: marc.fawal@hca5.eclinicaldirectplus.com

Organizations & group practices 22

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 22

Hospital & facility affiliations 4

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1497119911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR STE 211",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885749",
            "telephone_number": "843-549-9568",
            "fax_number": "843-549-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR STE 211",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885749",
            "telephone_number": "843-549-9568",
            "fax_number": "843-549-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142222006",
            "country_code": "US",
            "telephone_number": "716-878-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWAL",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "85140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.