CONNIE JORGENSEN MSRNCS (NPI# 1417140724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417140724 |
| Entity Type | Organization |
| Organization Name | CONNIE JORGENSEN MSRNCS |
| Practice Address |
2340 Patrick Henry Pkwy Ste 225 Mcdonough GA 30253-4214 |
| Practice Telephone | 7703898100 |
| Practice Fax Number | 7703893030 |
| Mailing Telephone | 7703898100 |
| Mailing Fax Number | 7703893030 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | MARIA CONNIE JORGENSEN (PRESIDENT) |
| Authorized Official Telephone | 7703898100 |
| Authorized Official Credential | M.S., R.N., C.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
098399 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2340 PATRICK HENRY PKWY STE 225 |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125248 | Richard Eric Paul | Dentist | 2340 Patrick Henry Pkwy, Ste 100, Mcdonough, GA 30253-4214 | 2005-06-23 |
| 1720439136 | Atlanta Sports and Spine LLC | Electrodiagnostic Medicine | 2340 Patrick Henry Pkwy, 150, Mcdonough, GA 30253-4325 | 2016-06-27 |
| 1245689777 | Sports and Spine Institute | Physical Medicine & Rehabilitation | 2340 Patrick Henry Pkwy, 150, Mcdonough, GA 30253-4325 | 2016-06-06 |
| 1336457530 | 3d Partners, LLC | Counselor | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4325 | 2010-09-22 |
| 1346473220 | Richard E. Paul Dmd PC | Oral & Maxillofacial Surgery | 2340 Patrick Henry Pkwy, Suite 100, Mcdonough, GA 30253-4216 | 2009-08-26 |
| 1346470697 | Amarasinghe Amarasinghe | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4216 | 2009-07-21 |
| 1760612345 | Ahmed Medical Center, Inc. | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Suite 225, Mcdonough, GA 30253-4216 | 2009-07-17 |
| 1871755025 | Amrish Patel | Physical Medicine & Rehabilitation | 2340 Patrick Henry Pkwy, Suite 150, Mcdonough, GA 30253-4325 | 2008-06-30 |
| 1811169873 | Verona Lawson, M.d. LLC | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Suite 225, Mcdonough, GA 30253-4214 | 2008-03-31 |
| 1124179759 | Alan Weinberg, Md | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4214 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493988 | Aleaser Palmer | Clinical Nurse Specialist | 615 Lawrenceville Suwanee Rd, Lawrenceville, GA 30046-4325 | 2017-08-18 |
| 1548501745 | Maria Flordesol Abuloc Culpa-bondal | Clinical Nurse Specialist | 145 Stone Brooke Dr, Gray, GA 31032-5864 | 2013-03-13 |
| 1730425307 | Brenda Gayle Smith | Clinical Nurse Specialist | 20 Hawkins St Apt G, Dahlonega, GA 30533-1154 | 2012-12-29 |
| 1861745994 | Sherry Marie Mccoy | Clinical Nurse Specialist | 3015 Veterans Parkaway, Moultrie, GA 31788 | 2012-10-26 |
| 1205112489 | Sharon Lee Evers | Clinical Nurse Specialist | 130 Lagrange St, Newnan, GA 30263-2938 | 2011-11-01 |
| 1609183755 | Marcia Younker | Clinical Nurse Specialist | 825 S Mulberry St, D, Jackson, GA 30233-2474 | 2010-09-10 |
| 1235467978 | Venus Denise Millington-upshaw | Clinical Nurse Specialist | 950 Dannon View Sw, Suite 4201, Atlanta, GA 30331-2160 | 2009-11-18 |
| 1063749588 | David H Fowler | Clinical Nurse Specialist | 306 Shorter Ave, Rome, GA 30165 | 2009-11-04 |
| 1972743623 | Kim Sandy Teague | Clinical Nurse Specialist | 985 Ridge Tarn, Atlanta, GA 30350-3426 | 2009-02-20 |
| 1063651982 | Beverly Lynn Philson | Clinical Nurse Specialist | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3801 | 2009-02-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.