Individual provider Active NPI

Jodene Marie Nagel, FNP

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1275198400
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN228794 Issued in GA
Practice address
601 Professional Dr Ste 220
Lawrenceville, GA 30046-7649
Phone
(770) 709-6922
Fax
(770) 709-6910
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X RN228794 GA
Family Nurse Practitioner 363LF0000X RN228794 GA Primary

Addresses

Primary practice location

601 Professional Dr Ste 220
Lawrenceville, GA 30046-7649

Mailing address

601 Professional Dr Ste 220
Lawrenceville, GA 30046-7649
Phone (770) 709-6922

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
I20191216002936 GA Practitioner - Nurse Practitioner 1153755681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

1655 Lebanon Rd
Suite a
Lawrenceville, GA 30043-5116
Phone (770) 682-2024

720 Transit Ave
Suite 101
Canton, GA 30114-2544
Phone (770) 720-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN228794GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Sep 21, 2019 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 15, 2022 Accepting new patients
Privia Medical Group of Georgia LLC General Practice CurrentSince Feb 15, 2022 Accepting new patients
Privia Medical Group, LLC PastSince Mar 1, 2022 Accepting new patients

Locations

720 Transit Ave
Ste 101
Canton, GA 30114
Phone (770) 720-7000

590 Lanier Ave W
Fayetteville, GA 30214

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1655 Lebanon Rd
Ste A
Lawrenceville, GA 30043
Phone (770) 682-2024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jodene.nagel.1@8042.direct.athenahealth.com

Organizations & group practices 4

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1275198400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR STE 220",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467649",
            "telephone_number": "770-709-6922",
            "fax_number": "770-709-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR STE 220",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467649",
            "telephone_number": "770-709-6922",
            "fax_number": "770-709-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "JODENE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "RN228794",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.