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DR. MARK R STEVENS DDS
NPI 1407878606
Oral & Maxillofacial Surgery in Augusta, GA

Active since July 24, 2006PECOS Enrolled
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-9744(706) 721-6778 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2021, Mar 11, 2021 (2 updates tracked since 2021).

About Dr. Mark R Stevens Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK R STEVENS DDS (NPI 1407878606) is an individual oral & maxillofacial surgery provider in Augusta, Georgia, licensed in Georgia (DN013387) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1407878606
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MARK R STEVENSCredential: DDS
Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0004
Mailing Address1430 John Wesley Gilbert Drive Gc-1012Augusta, GA 30912-0001 · (706) 721-7913 · Fax (706) 721-6778
Phone(706) 721-9744
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1407878606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in GA · DN013387✔ Licensed in CA · DDS25997✔ Licensed in GA · DNGA000215✔ Licensed in FL · DN7757
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912
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Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-3241 · Fax (706) 721-6276

Other Identifiers 3

MedicaidZG3387SC
Medicaid589724798BGA
Medicaid589724798IGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark R Stevens Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Stevens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Au Medical Associates Inc
0.3 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEOFFREY ALLEN THOMPSON DDS, MS
Dentist (Prosthodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
JOHN KENNETH HAWKINS CRNA, PHD
Nurse Anesthetist, Certified Registered
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. THEODORE D RAVENEL V DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
RYAN PATRICK MOONEYHAM DDS
Dentist (Oral and Maxillofacial Surgery)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. ELIZABETH CASTLEBERRY MILLER DDS
Dentist
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2441
JAYNA PATEL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DANIJELA LAZIC
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ROY A ROCKMAN DDS
Dentist (Pediatric Dentistry)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Stevens's NPI number?

The NPI number for Mark Stevens is 1407878606. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mark Stevens located?

Mark Stevens practices at 1430 John Wesley Gilbert Drive, Augusta, GA 30912. The listed phone number is (706) 721-9744.

What is Mark Stevens's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mark Stevens enrolled in Medicare?

Yes. Mark Stevens is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Stevens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stevens reassigns Medicare benefits to Au Medical Associates Inc (Augusta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Stevens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Stevens accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Stevens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Stevens was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.