AMY BERGQUIST FNP-BC
NPI 1366119364
Nurse Practitioner - Family in Carrollton, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since August 26, 2021PECOS Enrolled

706 DIXIE ST STE 320, CARROLLTON, GA 30117(770) 812-9326(770) 836-9358 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Aug 30, 2022, Aug 26, 2021 (3 updates tracked since 2021).

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About Amy Bergquist Fnp-bc NPPES

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

AMY BERGQUIST FNP-BC (NPI 1366119364) is an individual family provider in Carrollton, Georgia, licensed in Georgia (APRN-NP230576) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366119364

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY BERGQUISTCredential: FNP-BC

Location Address706 DIXIE ST STE 320Carrollton, GA 30117-3890

Mailing Address1196 Sandhill Hickory Lvl RdCarrollton, GA 30116-8158 · (404) 784-2675

Phone(770) 812-9326

Fax(770) 836-9358

Sole ProprietorNo

Enumeration DateAugust 26, 2021

Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1366119364 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 · APRN-NP230576

706 DIXIE ST STE 320, Carrollton, GA 30117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Bergquist Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.