Individual provider Active NPI

Gregory John Plagemann, NP

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1235865478
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN226581 Issued in GA
Practice address
705 Dixie St
Carrollton, GA 30117-3818
Phone
(770) 812-9561
NPI assigned
Jul 29, 2022
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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 RN226581 GA Primary

Addresses

Primary practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

27737 County Road 49
Fruithurst, AL 36262-3331
Phone (678) 516-6056

Other practice location 1

106 Gover St
Somerset, KY 42501-3332
Phone (385) 205-6500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020002378 GA Practitioner - Nurse Practitioner 5193191872 Reassigns benefits to 4 organizations

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
Carrollton Emergency Physicians PCGroup PAC ID 7416860010, 34 clinicians

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services, LLC CurrentSince Aug 8, 2023 Accepting new patients
3:16 Urgent Care LLC CurrentSince Nov 24, 2025 Accepting new patients
Carrollton Emergency Physicians, PC CurrentSince Aug 7, 2023 Accepting new patients
The Bortolazzo Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Georgia Em-I Medical Services. LLC CurrentSince Aug 8, 2023 Accepting new patients
316 Family Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

222 Gordon St
Bremen, GA 30110
Phone (770) 537-1234

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1793923200000",
    "number": "1235865478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27737 COUNTY ROAD 49",
            "city": "FRUITHURST",
            "state": "AL",
            "postal_code": "362623331",
            "telephone_number": "678-516-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-812-9561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Gover St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425013332",
            "country_code": "US",
            "telephone_number": "385-205-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN226581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.