Individual provider Active NPI

Mary-Ann Fares, MD

  • Neurological Surgery Physician
  • Conroe, TX
National Provider Identifier
1962843441
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
S2298 Issued in TX
Practice address
504 Medical Center Blvd
Conroe, TX 77304-2808
Phone
(678) 350-3405
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 080724 GA
Neurological Surgery Physician 207T00000X S2298 TX Primary
Vascular Neurology Physician 2084V0102X S2298 TX
Vascular Neurology Physician 2084V0102X ME133189 FL
Neurological Surgery Physician 207T00000X MD-57378 IA

Addresses

Primary practice location

504 Medical Center Blvd
Conroe, TX 77304-2808

Mailing address

504 Medical Center Blvd
Conroe, TX 77304-2808

Other practice location 1

909 9th Ave Ste 201
Fort Worth, TX 76104-3916
Phone (972) 566-5411

Other practice location 2

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-9000

Other practice location 3

1401 Centerville Rd Ste 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115

Other practice location 4

1111 6th Ave Ste A100
Des Moines, IA 50314-2610
Phone (515) 358-0011

Other practice location 5

515 W Mayfield Rd Ste 407
Arlington, TX 76014-2085
Phone (972) 566-5411

Other practice location 6

1401 Centerville Rd Ste 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115

Other practice location 7

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (678) 350-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, FL3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180920002472 GA Practitioner - Neurology 6608166129 Reassigns benefits to 1 organization
I20200624002244 TX Practitioner - Neurology 6608166129 Reassigns benefits to 1 organization
I20220830004571 FL Practitioner - Neurology 6608166129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro-Hospitalist of Clear Lake, PLLCGroup PAC ID 8527243682, 20 clinicians

Practice addresses (Care Compare)

508 Medical Ctr Blvd
Suite 200
Conroe, TX 77304-2952
Phone (936) 760-4600

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133189FLMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Neurological Surgery CurrentSince Sep 4, 2018 Accepting new patients
Tallahassee Neurological Clinic Neurological Surgery CurrentSince Oct 10, 2022 Accepting new patients
Neuro-Hospitalist of Clear Lake, PLLC Neurology CurrentSince Sep 15, 2023 Accepting new patients
Specialty Associates of West Houston PLLC PastSince Sep 1, 2020 Accepting new patients

Locations

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

508 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 760-4600

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21212 Northwest Fwy
Ste 645A
Cypress, TX 77429
Phone (281) 894-5310

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

500 W Medical Center Blvd
#C
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: mary.fares@hca9.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1962843441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "678-350-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 9th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043916",
            "country_code": "US",
            "telephone_number": "972-566-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Centerville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084639",
            "country_code": "US",
            "telephone_number": "850-877-5115",
            "fax_number": "850-656-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 6th Ave Ste A100",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142610",
            "country_code": "US",
            "telephone_number": "515-358-0011",
            "fax_number": "515-358-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 407",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "972-566-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Centerville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084639",
            "country_code": "US",
            "telephone_number": "850-877-5115",
            "fax_number": "850-656-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "678-350-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARES",
        "first_name": "MARY-ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "080724",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "S2298",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "S2298",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME133189",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IA",
            "license": "MD-57378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.