Individual provider Active NPI

Kadian K Magerl

  • Pediatric Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1447011697
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN315764 Issued in GA
Practice address
6021 Simone St
Acworth, GA 30101-0049
Phone
(678) 820-1172
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN315764 GA
Pediatric Nurse Practitioner 363LP0200X 3-002437 AL
Pediatric Nurse Practitioner 363LP0200X RN315764 GA Primary

Addresses

Primary practice location

6021 Simone St
Acworth, GA 30101-0049

Mailing address

6021 Simone St
Acworth, GA 30101-0049
Phone (678) 820-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20251003003532 AL Practitioner - Nurse Practitioner 1557867868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Franklin, TN 37068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN315764GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Regional Physician Group Practice LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4

Organizations & group practices 1

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1447011697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 SIMONE ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301010049",
            "telephone_number": "678-820-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 SIMONE ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301010049",
            "telephone_number": "678-820-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGERL",
        "first_name": "KADIAN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN315764",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "3-002437",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN315764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.