Individual provider Active NPI

Marjorie J Warren, M.D.

  • Child & Adolescent Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1649364779
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
033745 Issued in GA
Practice address
155 Eagles Walk
Ste F
Stockbridge, GA 30281-6342
Phone
(770) 389-8100
Fax
(770) 389-3030
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 033745 GA
Child & Adolescent Psychiatry Physician 2084P0804X 033745 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) 389-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110603000319 DC Practitioner - Psychiatry 6800886631 Reassigns benefits to 1 organization
I20181010002220 MD Practitioner - Psychiatry 6800886631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Grace Medical Center, Inc. Psychiatry CurrentSince Sep 1, 2018 Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649364779",
    "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": "770-389-8100",
            "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": "770-389-8100",
            "fax_number": "770-389-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARJORIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "033745",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "033745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.