RUXANDRA MARES, MD (NPI# 1962858613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962858613 |
| Entity Type | Organization |
| Organization Name | RUXANDRA MARES, MD |
| Practice Address |
100 Mariners Dr Suite D Kingsland GA 31548-6666 |
| Practice Telephone | 9125100669 |
| Practice Fax Number | 9125100754 |
| Mailing Telephone | 9125100669 |
| Mailing Fax Number | 9125100754 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | CAROL KNOWLES (BILLING AGENT) |
| Authorized Official Telephone | 9125100669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
100 MARINERS DR SUITE D |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548-6666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053491381 | Ruxandra Marina Denis Mares | Psychiatry & Neurology | 100 Mariners Dr, Suite D, Kingsland, GA 31548 | 2006-10-17 |
| 1841656147 | Tideline Counseling and Mental Health Assocaites | Counselor | 100 Mariners Dr, Suite D, Kingsland, GA 31548-6666 | 2016-01-04 |
| 1467872697 | Tamsyn Catherine O'flynn | Nurse Practitioner | 100 Mariners Dr, Suite D, Kingsland, GA 31548 | 2014-04-28 |
| 1609294487 | Peggy O'cain | Counselor | 100 Mariners Dr, Suite D, Kingsland, GA 31548-6667 | 2014-03-31 |
| 1033428875 | Camden C & A | Counselor | 100 Mariners Dr, Suite D, Kingsland, GA 31548-6666 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548513211 | Salveo Integrative Health | Psychiatry & Neurology | 301 Gwinnett Dr., Lawrenceville, GA 30046 | 2012-10-18 |
| 1821386855 | Outreach Psychiatric Associates, LLC | Psychiatry & Neurology | 250 Constitution Blvd, Ste 203, Lawrenceville, GA 30046-8432 | 2011-07-12 |
| 1336324144 | Leo O Noragbon | Psychiatry & Neurology | 728 Nightwind Way, Stockbridge, GA 30281-9134 | 2007-12-31 |
| 1457535155 | Michael S Conley M.d., P.C. | Psychiatry & Neurology | 285 Boulevard Ne Ste 315, Atlanta, GA 30312-4213 | 2007-12-18 |
| 1508087792 | Psychiatric Services of America | Psychiatry & Neurology | 311 Gwinnett Dr., Lawrenceville, GA 30046 | 2007-05-02 |
| 1184706996 | Jae Pak PC | Psychiatry & Neurology | 2160 Fountain Drive, 200, Snellville, GA 30078-6783 | 2006-10-20 |
| 1194811174 | Adriana P Hermida | Psychiatry & Neurology | 826 Fieldstone Pkwy, Jonesboro, GA 30236-7500 | 2006-10-05 |
| 1689765844 | William Maffitt Mcdonald | Psychiatry & Neurology | Emory Division of Geriatric Psychiatry, Wesley Woods Health Center, 1841 Clifton Road Ne, Atlanta, GA 30329 | 2006-09-27 |
| 1760405211 | Frank Wayne Brown | Psychiatry & Neurology | 1899 E Gate Dr, Stone Mountain, GA 30087-1912 | 2006-07-25 |
| 1740280551 | Jae H Pak | Psychiatry & Neurology | 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 | 2005-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.