NPIMap

Individual provider Active NPI

Marva Denise Williams, MD

  • Family Medicine Physician
  • Manning, SC
National Provider Identifier
1518068873
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22121 Issued in SC
Practice address
107 Sunset Dr
Manning, SC 29102-2904
Phone
(803) 435-4447
Fax
(803) 435-9092
NPI assigned
Sep 26, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 22121 SC
Family Medicine Physician 207Q00000X 22121 SC Primary

Addresses

Primary practice location

107 Sunset Dr
Manning, SC 29102-2904

Mailing address

107 Sunset Dr
Manning, SC 29102-2904
Phone (803) 435-4447

Other practice location 1

1761 Pinewood Rd
Agape Physicians Care
Sumter, SC 29154-9056
Phone (803) 481-8591

Other practice location 2

3555 Williamsburg Highway
Cades, SC 29518-0100
Phone (843) 792-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

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
I20031218000795 SC Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Other (Physician) 7012814718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarendon Health and Wellness CenterGroup PAC ID 9931472669, 4 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

107 Sunset Dr
Manning, SC 29102-2904
Phone (803) 435-4447

3555 Williamsburg Hwy
Cades, SC 29518
Phone (803) 425-1182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
29.51 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
78.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jan 1, 2023 Accepting new patients
Clarendon Health and Wellness Center Family Medicine CurrentSince Jul 17, 2017 Accepting new patients
Musc Community Physicians CurrentSince Jan 1, 2023 Accepting new patients
Fairfield Memorial Hospital Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Santee Cooper Urgent Care Inc Past Accepting new patients
Pee Dee Emergency Physicians Past Accepting new patients
Chesterfield-Marlboro LP Family Medicine Past Accepting new patients
Carolina Family Practice Family Medicine PastSince Jul 17, 2017 Accepting new patients
Black River Healthcare, Inc. Family Medicine Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3555 N Williamsburg County Hwy
Cades, SC 29518
Phone (843) 210-5000

107 Sunset Dr
Manning, SC 29102
Phone (803) 435-4447

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mwilliams419088@direct.musc.edu

Organizations & group practices 10

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.

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1518068873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022904",
            "telephone_number": "803-435-4447",
            "fax_number": "803-435-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022904",
            "telephone_number": "803-435-4447",
            "fax_number": "803-435-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Pinewood Rd",
            "address_2": "Agape Physicians Care",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291549056",
            "country_code": "US",
            "telephone_number": "803-481-8591",
            "fax_number": "803-520-9624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Williamsburg Highway",
            "address_purpose": "LOCATION",
            "city": "Cades",
            "state": "SC",
            "postal_code": "295180100",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARVA",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "SC",
            "license": "22121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3555 Williamsburg Highway",
            "city": "Cades",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295180100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.