Active NPI
Margaret Mae Jorge, APRN
- Family Nurse Practitioner
- Davenport, FL
National Provider Identifier
1881265338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11014113
- Practice address
- 106 Park Place Blvd Ste C
Davenport, FL 33837-6868 - Phone
- (863) 588-4775
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11014113 | FL | Primary |
Addresses
Primary practice location
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Mailing address
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Phone (863) 588-4775
Other practice location 1
515 E Garden St
Lakeland, FL 33805-4615
Phone (863) 588-4775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014113 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soni Family Practice, PLLC | Current | Accepting new patients | |
| Soni Family Practice, PLLC | Current | Accepting new patients | |
| SFP PC Holdings, Inc. | Current | Accepting new patients |
Locations
106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664
515 E Garden St
Ste B
Lakeland, FL 33805
515 E Garden St
Lakeland, FL 33805
Phone (863) 683-5454
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- margaret.jorge.1@6807.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Davenport, FL
- NPI 1083957583
-
- Multi-Specialty Clinic/Center
- Davenport, FL
- NPI 1225923667
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1770309510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1881265338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PARK PLACE BLVD STE C",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376868",
"telephone_number": "863-588-4775",
"fax_number": "863-422-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PARK PLACE BLVD STE C",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376868",
"telephone_number": "863-588-4775"
}
],
"practiceLocations": [
{
"address_1": "515 E Garden St",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054615",
"country_code": "US",
"telephone_number": "863-588-4775",
"fax_number": "863-422-7664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORGE",
"first_name": "MARGARET",
"middle_name": "MAE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11014113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.