Active NPI
Georgia Caroline May Mars, DMD
- Dentist
- Raleigh, MS
National Provider Identifier
1619652211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4384-23
- Practice address
- 276 Magnolia Dr
Raleigh, MS 39153-6016 - Phone
- (601) 782-9909
- NPI assigned
- Jun 20, 2023
- Last updated
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4384-23 | MS | Primary |
Addresses
Primary practice location
276 Magnolia Dr
Raleigh, MS 39153-6016
Mailing address
4324 N Honeysuckle LN
Jackson, MS 39211-6131
Phone (601) 624-4421
Other names 1
- Dr. Caroline May Mars
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4384-23 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tullos Family Dentistry, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Raleigh, MS
- NPI 1467519827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1619652211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 N HONEYSUCKLE LN",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116131",
"telephone_number": "601-624-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 MAGNOLIA DR",
"city": "RALEIGH",
"state": "MS",
"postal_code": "391536016",
"telephone_number": "601-782-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARS",
"first_name": "GEORGIA",
"middle_name": "CAROLINE MAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "4384-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "MARS",
"middle_name": "MAY",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Raleigh, MS
- Guardian Angel Healthcare Inc., II (Patients Choice Medical Center)
- Pamela Denise Hardin, NP
- Independent Healthcare Management, Inc. (35 South Family Medical)
- Richard Allen Little, R.PH.
- Magee Benevolent Association (the medical pavilion)
- McGuffee Drugs Inc (Littles Pharmacy)
- Olha McKay, DMD
- Mississippi State Department of Health
- Jalesa Denise Nickson, ED.S
- Raleigh Dental Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.