Individual provider Active NPI

Marisa Elise - Guerette Chorney, FNP-BC

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1558727925
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173184 Issued in VA
Practice address
3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone
(706) 828-8049
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173184 VA Primary

Addresses

Primary practice location

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6008

Other practice location 1

951 Mariners Island Blvd
San Mateo, CA 94404-1558
Phone (772) 217-4557

Other practice location 2

1100 W Lake Commons Dr
Martinez, GA 30907-7932
Phone (706) 250-6919

Other practice location 3

447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone (706) 854-2222

Other practice location 4

925 Branch Ct Ste 101
Grovetown, GA 30813-3325
Phone (706) 396-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160802002083 DC Practitioner - Nurse Practitioner 6305130139 Reassigns benefits to 1 organization
I20180927000102 MD Practitioner - Nurse Practitioner 6305130139 Reassigns benefits to 1 organization
I20200609003278 GA Practitioner - Nurse Practitioner 6305130139 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173184VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Jul 17, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Apr 1, 2022 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jul 17, 2018 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

228 7th St SE
Washington, DC 20003
Phone (202) 696-0795

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

1100 West Lake Commons Dr
Martinez, GA 30907
Phone (706) 228-2565

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 7

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1558727925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3486 PEACH ORCHARD RD STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065215",
            "telephone_number": "706-828-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Mariners Island Blvd",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944041558",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077932",
            "country_code": "US",
            "telephone_number": "706-250-6919",
            "fax_number": "706-250-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1199",
            "fax_number": "706-396-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHORNEY",
        "first_name": "MARISA",
        "middle_name": "ELISE - GUERETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.