MR. GREGORY JOHN PLAGEMANN NP
NPI 1235865478
Nurse Practitioner - Family in Austell, GA

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Gregory John Plagemann Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY JOHN PLAGEMANN NP (NPI 1235865478) is an individual family provider in Austell, Georgia, licensed in Georgia (RN226581) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235865478
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. GREGORY JOHN PLAGEMANNCredential: NP
Location Address3950 AUSTELL RDAustell, GA 30106-1121
Mailing Address737 Sycamore DrVilla Rica, GA 30180-5323 · (678) 516-6056
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1235865478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN226581
3950 AUSTELL RD, Austell, GA 30106

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregory John Plagemann Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193191872
PECOS Enrollment IDI20221020002378
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Gregory Plagemann reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
Emergency Medicine
3949 S COBB DR SE
Smyrna, GA 30080
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
Family Medicine
222 GORDON ST
Bremen, GA 30110
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
Emergency Medicine
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 50 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services57 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Hospitalist
3950 AUSTELL RD, BOX 22
AUSTELL, GA 30106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Plagemann's NPI number?

The NPI number for Gregory Plagemann is 1235865478. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Gregory Plagemann located?

Gregory Plagemann practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.

What is Gregory Plagemann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gregory Plagemann enrolled in Medicare?

Yes. Gregory Plagemann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gregory Plagemann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Plagemann reassigns Medicare benefits to 4 organizations: The Bortolazzo Group, LLC (Austell, GA), Georgia Em-I Medical Services, PC (Smyrna, GA), 316 Family Medicine (Bremen, GA) and Carrollton Emergency Physicians, PC (Carrollton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Plagemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Plagemann accept?

Health plans from Oscar Health and Oscar Insurance Company list Gregory Plagemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Plagemann was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.