Individual provider Active NPI

Maria C Jorgensen, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Stockbridge, GA
National Provider Identifier
1235110800
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN098399 Issued in GA
Practice address
155 Eagles Walk
Ste F
Stockbridge, GA 30281-6342
Phone
(770) 389-1025
Fax
(770) 389-3030
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN098399 GA Primary

Addresses

Primary practice location

155 Eagles Walk
Ste F
Stockbridge, GA 30281-6342

Mailing address

155 Eagles Walk
Ste F
Stockbridge, GA 30281-6342
Phone (770) 389-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20031210000028 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 1557267846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
View Point HealthGroup PAC ID 0840272282, 33 clinicians

Practice addresses (Care Compare)

175 Gwinnett Dr
Lawrenceville, GA 30046-0687

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (770) 339-5071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Nov 1, 2012 Accepting new patients
Advantage Behavioral Health Systems CurrentSince Jan 14, 2008 Accepting new patients
View Point Health CurrentSince Dec 22, 2013 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Highland Rivers CSB CurrentSince Nov 1, 2012 Accepting new patients
Heritage Inn of Barnesville LLC Past Accepting new patients
Creative Care Concepts, Inc. Past Accepting new patients
Wellstar Psychiatry, LLC Past Accepting new patients
Psychiatric Consultative Services, L.L.C. Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients

Locations

250 North Ave
Ofc
Athens, GA 30601
Phone (706) 227-7249

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

250 North Ave
Athens, GA 30601
Phone (706) 542-8656

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

Organizations & group practices 10

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235110800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 EAGLES WALK",
            "address_2": "STE F",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816342",
            "telephone_number": "770-389-1025",
            "fax_number": "770-389-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 EAGLES WALK",
            "address_2": "STE F",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816342",
            "telephone_number": "770-389-1025",
            "fax_number": "770-389-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN098399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.