DR. COURTNEY ANNE CARPENTER (MD) – Plastic and Reconstructive Surgery Physician, NPI 1255629911
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 PLASTIC AND RECONSTRUCTIVE SURGERY in GA
Provider Addresses for DR. COURTNEY ANNE CARPENTER (MD)
1001 JOHNSON FERRY RD
ATLANTA, GA 303421605
Phone: (404) 785-3782
Type: Location
200 UNIVERSITY AVE E
SAINT PAUL, MN 551012507
Phone: (651) 602-3277
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Integra LifeSciences Corporation ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140709001735 | I | Plastic And Reconstructive Surgery | NY | TBD |
| I20221017000159 | I | Plastic And Reconstructive Surgery | MN | TBD |
| I20240610003389 | I | Plastic And Reconstructive Surgery | TX | TBD |
| I20241003002489 | I | Plastic And Reconstructive Surgery | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Physician Assistant | GA | |
| Plastic And Reconstructive Surgery | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | GA | |
| Plastic And Reconstructive Surgery | TX |
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