Mark Eason Gilbert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4439-24 Issued in MS

Practice address

8947 College St
Olive Branch, MS 38654-3153

Phone

(662) 895-0100

NPI assigned

Jun 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HECABD

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.

• Northeast Mississippi Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Byhalia, MS
  • NPI 1558410738
  Medicare reassignment NPD
• Northeast Mississippi Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Southaven, MS
  • NPI 1447665385
  NPD
• Northeast Mississippi Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mt. Pleasant, MS
  • NPI 1386792992
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1124869193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8947 COLLEGE ST",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543153",
            "telephone_number": "662-895-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8947 COLLEGE ST",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543153",
            "telephone_number": "662-895-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MARK",
        "middle_name": "EASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4439-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Getwell Pharmacy of Tennessee, Inc.
• Getwell Pharmacy, LLC
• Jason Max Ghio, PHARM. D.
• Allen Kerrie Gholston, LCSW
• Evan Scott Gilbert, DDS
• Mark W Gilbert, D.D.S.
• Eleanor A Gill, D.M.D.
• Goodman Pharmacy, LLC
• Goodman Road Dental PLLC
• Grace Freight LLC

• General Practice Dentistry in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.