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DR. MACKENZIE KATE MARTIN DDS
NPI 1639737646
Dentist - General Practice in Hattiesburg, MS

Active since June 04, 2019PECOS Enrolled
68 OLD AIRPORT RD, HATTIESBURG, MS 39401(601) 583-4800(601) 584-7769 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2020, Jun 4, 2019 (2 updates tracked since 2019).

About Dr. Mackenzie Kate Martin Dds NPPES

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

DR. MACKENZIE KATE MARTIN DDS (NPI 1639737646) is an individual general practice provider in Hattiesburg, Mississippi, licensed in Mississippi (4113-20) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1639737646
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MACKENZIE KATE MARTINCredential: DDS
Location Address68 OLD AIRPORT RDHattiesburg, MS 39401-8382
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-0231
Phone(601) 583-4800
Fax(601) 584-7769
Sole ProprietorNo
Enumeration DateJune 4, 2019
Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1639737646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 4113-20
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
68 OLD AIRPORT RD, Hattiesburg, MS 39401
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Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-6028 · Fax (601) 984-6039

Other Identifiers 1

Medicaid06359830MS

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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mackenzie Kate Martin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. KRISTEN COX CATLEDGE D.M.D.
Dentist (General Practice)
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800
MR. TRACY LEE WILLIAMS D.M.D.
Dentist (General Practice)
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800
HATTIESBURG COMMUNITY DENTAL CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800
DR. TOD A BIGELOW
Dentist (General Practice)
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800
DEWANNA RENEE VARNADO DMD
Dentist (General Practice)
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800
MONET KALISHA DUCKSWORTH DMD
Dentist (General Practice)
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800
DR. JOHN CHARLES GILLIS DDS
Dentist
68 OLD AIRPORT RD
HATTIESBURG, MS 39401
Forrest County (601) 583-4800

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 Mackenzie Martin's NPI number?

The NPI number for Mackenzie Martin is 1639737646. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Mackenzie Martin located?

Mackenzie Martin practices at 68 Old Airport Rd, Hattiesburg, MS 39401. The listed phone number is (601) 583-4800.

What is Mackenzie Martin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mackenzie Martin enrolled in Medicare?

Yes. Mackenzie Martin is registered in the Medicare PECOS enrollment system.

What insurance does Mackenzie Martin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Mackenzie Martin 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 Mackenzie Martin was last updated on September 18, 2020. 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.