Individual provider Active NPI

Carolye Valerie Mason, D.M.D

  • General Practice Dentistry
  • Robins Afb, GA
National Provider Identifier
1093824666
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011813 Issued in GA
Practice address
655 7TH St BLDG 700700-a
78 MDG/SGHC
Robins Afb, GA 31098-2227
Phone
(478) 327-8056
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011813 GA Primary

Addresses

Primary practice location

655 7TH St BLDG 700700-a
78 MDG/SGHC
Robins Afb, GA 31098-2227

Mailing address

655 7TH St BLDG 700700-a
78 MDG/SGHC
Robins Afb, GA 31098-2227
Phone (478) 327-8056

Other identifiers 1

IdentifierTypeStateIssuer
000918849DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240917004868 SC Practitioner - Dentist 3870034853
I20250424001044 GA Practitioner - Dentist 3870034853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9051SCMDProfessional Counselor
011813GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project Inc CurrentSince Mar 17, 2025 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Mar 17, 2025 Accepting new patients
Caresouth Carolina, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Linda Munro Psy D PA Past Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients

Locations

1111 Garredd Blvd
Augusta, GA 30909
Phone (706) 296-6507

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

737 S Main St
Society Hill, SC 29593
Phone (843) 378-3000

Interoperability endpoints

  • Direct secure messaging: carolye.mason@mapbt.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1093824666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700700-A",
            "address_2": "78 MDG/SGHC",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST BLDG 700700-A",
            "address_2": "78 MDG/SGHC",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CAROLYE",
        "middle_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000918849D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins Afb, GA

Sources for this page

Verify at the official NPI Registry.