Ruxandra Marina Denis Mares, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

58799 Issued in GA

Practice address

100 Mariners Dr
Suite D
Kingsland, GA 31548

Phone

(912) 510-0669

Fax

(912) 510-0754

NPI assigned

Oct 17, 2006

Last updated

Feb 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Good Samaritan Hospital

  dba CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  NPD (past)
• Lifeskills, Inc.

  dba Pennyroyal Center

  • Developmentally Disabled Services Day Training Agency
  • Hopkinsville, KY
  • NPI 1346321643
  NPD (past)
• Lifeskills, Inc.

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1669401816
  NPD (past)
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)
• The Physician Network

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1437184652

  Psychiatry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1053491381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR",
            "address_2": "SUITE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-510-0669",
            "fax_number": "912-510-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR",
            "address_2": "SUITE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-510-0669",
            "fax_number": "912-510-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "RUXANDRA",
        "middle_name": "MARINA DENIS",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "58799",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "058799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamekia Louise Louis, OT
• Yvika Arre Love, FNP-C
• Luxottica of America Inc (Pearle Vision #1372)
• Lyons Home Care LLC
• Jenita Lyons
• Marvin P. Jones MD PC
• Genevieve Matherne, OT
• Miney Mathews, MD
• Richard J McKibben, PT, DSC, ECS
• McKinney Medical Center Inc (McKinney Community Health Center)

• Psychiatry Physician in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.