Individual provider Active NPI

Emily Lagergren, MD

  • Vascular Surgery Physician
  • Marietta, GA
National Provider Identifier
1750678637
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
78383 Issued in GA
Practice address
61 Whitcher St NE Ste 2100
Marietta, GA 30060
Phone
(770) 423-0595
Fax
(678) 391-5055
NPI assigned
Jun 29, 2011
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME178074 FL
Vascular Surgery Physician 2086S0129X 78383 GA Primary

Addresses

Primary practice location

61 Whitcher St NE Ste 2100
Marietta, GA 30060

Mailing address

60 Chastain Center Blvd NW Ste 66
Kennesaw, GA 30144-5598
Phone (770) 423-0595

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 595-9750

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017001312 GA Practitioner - Vascular Surgery 3173875374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Vascular Surgical Associates, PCGroup PAC ID 6709862212, 25 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

55 Whitcher Nest
Suite 160
Marietta, GA 30060-1160
Phone (770) 422-1372

61 Whitcher St NE
Suite 3150
Marietta, GA 30060-1180
Phone (770) 423-0595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal54
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME178074FLMDVascular Surgery Physician
78383GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgical Associates, PC Vascular Surgery CurrentSince Aug 1, 2018 Accepting new patients
Vascular Surgical Associates, PC CurrentSince Aug 1, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

2041 Mesa Valley Way
Ste 185
Austell, GA 30106
Phone (404) 785-8900

130 Riverstone Ter
Ste 100
Canton, GA 30114
Phone (770) 479-4800

962 Joe Frank Harris Pkwy SE
Ste 202
Cartersville, GA 30120
Phone (770) 334-8818

6095 Professional Pkwy
Ste B203
Douglasville, GA 30134
Phone (770) 947-7747

148 Bill Carruth Pkwy
Ste 380
Hiram, GA 30141
Phone (770) 874-0703

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

60 Chastain Center Blvd NW
Ste 66
Kennesaw, GA 30144

3747 Roswell Rd
Ste 316
Marietta, GA 30062
Phone (678) 626-5420

61 Whitcher St NE
Ste 2100
Marietta, GA 30060

61 Whitcher St NE
Ste 2120
Marietta, GA 30060
Phone (770) 544-1145

61 Whitcher St NE
Ste 3150
Marietta, GA 30060

100 Stoneforest Dr
Ste 130
Woodstock, GA 30189
Phone (678) 388-1621

1505 Stone Bridge Pkwy
Ste 100
Woodstock, GA 30189
Phone (404) 425-5570

Interoperability endpoints

  • Direct secure messaging: emilylagergren@vsa.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1750678637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHASTAIN CENTER BLVD NW STE 66",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445598",
            "telephone_number": "770-423-0595",
            "fax_number": "678-388-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WHITCHER ST NE STE 2100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-423-0595",
            "fax_number": "678-391-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-595-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGERGREN",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME178074",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "78383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.