MR. CARL KONIECZKA (APRN) – Family Nurse Practitioner, NPI 1558705053
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MR. CARL KONIECZKA (APRN)
80 JESSE HILL JR DR SE
ATLANTA, GA 303033031
Phone: (404) 251-8921
Type: Location
1305 JENNINGS MILL RD STE 110
WATKINSVILLE, GA 306777241
Phone: (706) 613-5880
Type: Location
80 Jesse Hill Jr Dr SE
Atlanta, GA 303033031
Phone: (404) 251-8921
Type: Location
3875 JAMAICA DR
JONESBORO, GA 302365428
Phone: (678) 935-8049
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Bioventus LLC ($45).
Total Amount
$167
General + Research + Ownership
Payments
8
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $45 |
| TREACE MEDICAL CONCEPTS, INC. | $25 |
| DePuy Synthes Sales Inc. | $22 |
| Vericel Corporation | $22 |
| KCI USA, Inc. | $21 |
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: 2013-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20130827000267 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 2,580 | 33 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 456 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 209 | 135 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 108 | 73 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 30303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology | GA |
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