Mark Ray McIlwain, DMD, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

00016147 Issued in AL

Practice address

398 Ashe Blvd
Sheffield, AL 35660-1729

Phone

(256) 383-1499

Fax

(256) 383-9135

NPI assigned

Apr 26, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 4, 2024 through Sep 4, 2026

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 and National Provider Directory roles.

• Ofs-Shoals, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Florence, AL
  • NPI 1609649177
  NPD (past) Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720045685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499",
            "fax_number": "256-383-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 ASHE BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356601729",
            "telephone_number": "256-383-1499",
            "fax_number": "256-383-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "MARK",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "LNO3783",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "00016147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Maxwell, CRNP
• Maryellen McIlwain Mayfield, LICSW
• Jerrel Brad McAnalley, M.D.
• Marilyn D McAnalley, CRNP
• Pamela D McGarrah, MD
• David Parks McKinley Sr., M.D.,
• McLeary & Almon Dental Associates LLC
• McLeary Dental Associates - Sheffield, LLC
• Jack Marvin McLendon Jr., M.D.
• Michael Henry McWaters

• Oral & Maxillofacial Surgery (D.M.D.) in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.