Organization Active NPI

Ruxandra Mares, MD

  • Geriatric Psychiatry Physician
  • Kingsland, GA
National Provider Identifier
1962858613
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
RUXANDRA MARES, MD
Practice address
100 Mariners Dr
Suite D
Kingsland, GA 31548-6666
Phone
(912) 510-0669
Fax
(912) 510-0754
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Carol Knowles
Title
Billing Agent
Phone
(912) 510-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

100 Mariners Dr
Suite D
Kingsland, GA 31548-6666

Mailing address

100 Mariners Dr
Suite D
Kingsland, GA 31548-6666
Phone (912) 510-0669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1962858613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR",
            "address_2": "SUITE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486666",
            "telephone_number": "912-510-0669",
            "fax_number": "912-510-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR",
            "address_2": "SUITE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486666",
            "telephone_number": "912-510-0669",
            "fax_number": "912-510-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUXANDRA MARES, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "912-510-0669"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.