Fawaz Medical and Surgical Clinic, LLC
NPI 1801207626 · Multi-Specialty Clinic/Center · Defuniak Springs, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fawaz Medical and Surgical Clinic, LLC is a Multi-Specialty Clinic/Center organization in Defuniak Springs, FL (NPI 1801207626).
Provider details
- NPI number
- 1801207626
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janna Mauldin, Office Manager(850) 951-8800
- License
- ME82523 (ZZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2014-05-14
- Last updated
- 2014-05-14
Frequently asked questions
- What is Fawaz Medical and Surgical Clinic, LLC's NPI number?
- Fawaz Medical and Surgical Clinic, LLC's National Provider Identifier (NPI) is 1801207626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fawaz Medical and Surgical Clinic, LLC?
- Fawaz Medical and Surgical Clinic, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fawaz Medical and Surgical Clinic, LLC located?
- Fawaz Medical and Surgical Clinic, LLC's practice location on file with NPPES is 962 US Highway 331 S, Defuniak Springs, FL 32435-3372.
- What is Fawaz Medical and Surgical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fawaz Medical and Surgical Clinic, LLC is (850) 951-8800.
- Does Fawaz Medical and Surgical Clinic, LLC accept Medicare?
- Fawaz Medical and Surgical Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fawaz Medical and Surgical Clinic, LLC?
- The authorized official listed on Fawaz Medical and Surgical Clinic, LLC's NPPES record is Janna Mauldin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fawaz Medical and Surgical Clinic, LLC's NPI active?
- Yes — Fawaz Medical and Surgical Clinic, LLC's NPI (1801207626) is active in the NPPES registry as of the last update on 2014-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.