Individual provider Active NPI

Carlena Suzette Plunkett, FNP

  • Family Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1770035362
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN201146 Issued in GA
Practice address
550 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-9083
Phone
(770) 389-9494
Fax
(770) 357-2511
NPI assigned
Oct 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 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 RN201146 GA Primary

Addresses

Primary practice location

550 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-9083

Mailing address

550 Eagles Landing Pkwy Ste. 110
Stockbridge, GA 30281
Phone (770) 389-9494

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
I20170411000280 GA Practitioner - Nurse Practitioner 4880970607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eagles Landing Diabetes and Endocrinology CurrentSince Feb 28, 2025 Accepting new patients

Locations

550 Eagles Landing Pkwy
Ste 108112
Stockbridge, GA 30281
Phone (770) 389-2262

550 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-9494

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDABDA

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": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1770035362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY STE. 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-389-9494",
            "fax_number": "770-357-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY STE 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819083",
            "telephone_number": "770-389-9494",
            "fax_number": "770-357-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNKETT",
        "first_name": "CARLENA",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.