Active NPI
Gregory John Plagemann, NP
- Family Nurse Practitioner
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN226581
- Practice address
- 3950 Austell Rd
Austell, GA 30106-1121 - Phone
- (770) 732-4000
- NPI assigned
- Jul 29, 2022
- Sex
- Male
- 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 | RN226581 | GA | Primary |
Addresses
Primary practice location
3950 Austell Rd
Austell, GA 30106-1121
Mailing address
737 Sycamore Dr
Villa Rica, GA 30180-5323
Phone (678) 516-6056
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN226581 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Emergency Physicians, PC | Current | Accepting new patients | |
| Georgia Em-I Medical Services. LLC | Current | Accepting new patients | |
| Georgia Em-I Medical Services, LLC | Current | Accepting new patients | |
| 3:16 Urgent Care LLC | Current | Accepting new patients | |
| The Bortolazzo Group, LLC | Current | Accepting new patients | |
| 316 Family Medicine | Current | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660
222 Gordon St
Bremen, GA 30110
Phone (770) 537-1234
820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Carrollton, GA
- NPI 1790724672
-
- Family Medicine Physician
- Bremen, GA
- NPI 1861915647
-
- Nurse Practitioner
- Bremen, GA
- NPI 1851569560
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Urgent Care Clinic/Center
- Bremen, GA
- NPI 1295695781
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1235865478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 SYCAMORE DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301805323",
"telephone_number": "678-516-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061121",
"telephone_number": "770-732-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAGEMANN",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN226581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.