Individual provider Active NPI

Margaret Goris, FNP-BC, MSN(R)

  • Psychiatric/Mental Health Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1144595828
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020414 Issued in NC
Practice address
1748 Heritage Center Dr Ste 101
Wake Forest, NC 27587-9855
Phone
(919) 529-5920
Fax
(919) 529-5933
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23465 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5020414 NC Primary

Addresses

Primary practice location

1748 Heritage Center Dr Ste 101
Wake Forest, NC 27587-9855

Mailing address

1748 Heritage Center Dr Ste 101
Wake Forest, NC 27587-9855
Phone (919) 529-5920

Other practice location 1

2801 Atlantic Ave
Long Beach, CA 90806
Phone (562) 933-8170

Other practice location 2

2525 Chicago Ave
2525 Chicago Avenue S
Minneapolis, MN 55404-4518
Phone (952) 992-5316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107004042 NC Practitioner - Nurse Practitioner 9537321773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23465CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Oaks Clinic PLLC Psychiatric/Mental Health CurrentSince Nov 15, 2024 Accepting new patients
North Carolina Neuropsychiatry, P.a. CurrentSince Aug 1, 2025 Accepting new patients

Locations

1829 E Franklin St
Ste 400
Chapel Hill, NC 27514
Phone (919) 785-5055

1748 Heritage Center Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 529-5920

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1144595828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 HERITAGE CENTER DR STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879855",
            "telephone_number": "919-529-5920",
            "fax_number": "919-529-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 HERITAGE CENTER DR STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879855",
            "telephone_number": "919-529-5920",
            "fax_number": "919-529-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "562-933-8170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Chicago Ave",
            "address_2": "2525 Chicago Avenue S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044518",
            "country_code": "US",
            "telephone_number": "952-992-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORIS",
        "first_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, MSN(R)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23465",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.