IndividualActive
Marcus Fortson
NPI 1649997537 · Contractor · Columbia, SC
Provider details
- NPI number
- 1649997537
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Kaminer Way Pkwy Ste F
Columbia, SC 29210-3986
Phone: (803) 401-5673
Street-level locationGet directions
Mailing address
120 Kaminer Way Pkwy Ste F
Columbia, SC 29210-3986
Additional practice locations (1)
- 120 Kaminer ParkwaySuite FColumbia, SC 29210Phone: (803) 401-5673
Registry dates
- Enumerated
- 2022-10-21
- Last updated
- 2022-10-22
- Certified
- 2022-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.