KARMON MARIE JANSSEN (DO) – Military Health Care Provider, NPI 1740520543

KARMON MARIE JANSSEN (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in UROLOGY. They hold the professional credentials DO. They hold a License No. 89535 (SC). The NPI Number for KARMON MARIE JANSSEN (DO) is 1740520543

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KARMON MARIE JANSSEN (DO)
NPI
1740520543
Phone
Not provided
Address
5730 GLENRIDGE DR STE 200
Enumeration Date
15 February 2013
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5035615200
Graduation Year
2013 (13 years ago)
PAC ID
0143543074
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20241113003676
Address ID
OR973013905SA890XXSEXX400

Contacts

Secure Messaging
kjanssen308902@direct.wvuhsdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness95
Years active:13State licenses:6Other names

270 UROLOGY in AZ

Provider Addresses for KARMON MARIE JANSSEN (DO)

  • 5730 GLENRIDGE DR STE 200

    ATLANTA, GA 303285579

    Phone:

    Type: Mailing

  • 340 S Willard St Ste 101

    Cottonwood, AZ 863264126

    Phone: (928) 649-7970

    Fax: (928) 649-7971

    Type: Location

  • 6585 S Yale Ave Ste 720

    Tulsa, OK 741368320

    Phone: (918) 502-5930

    Fax: (918) 502-5935

    Type: Location

  • MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone:

    Type: Mailing

  • 9040 JACKSON AVE

    TACOMA, WA 984312946

    Phone: (253) 968-2252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $3,755.

Total Amount is formed as General ($3,755) + Research ($0) + Ownership ($0) = $3,755.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$3,755

General + Research + Ownership

Payments

10

Total payment records

General Amount

$3,755

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220201001095IUrologyWATBD
I20230628000915IUrologySCTBD
I20230705000316IUrologyTNTBD
I20231130003685IUrologyMDTBD
I20241113003676IUrologyORTBD
I20250428002770IUrologyOKTBD
I20250627003774IUrologySDTBD
I20251223000517IUrologyAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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 30328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628986668View full group profile
NameSpecialtyState
-OR
Physician AssistantOR
A N E S T H E S I O L O G YMT
A N E S T H E S I O L O G YWA
-OR
Radiation OncologyOR
Internal Medicine, HospitalistOR
A N E S T H E S I O L O G YOR
-OR
-OR

Reviews

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Frequently asked questions

Can I cross-check KARMON MARIE JANSSEN (DO) using NPI 1740520543?
NPI 1740520543 belongs to KARMON MARIE JANSSEN (DO); compare other details if you need extra assurance.
Is there an active status for KARMON MARIE JANSSEN (DO)?
For scheduling context, KARMON MARIE JANSSEN (DO) is shown as active in the registry.
What clinical focus is listed for KARMON MARIE JANSSEN (DO)?
At a glance, KARMON MARIE JANSSEN (DO) is tied to Military Health Care Provider. Clinical services aligned with this taxonomy classification.
Is KARMON MARIE JANSSEN (DO) located near Atlanta?
KARMON MARIE JANSSEN (DO) currently maps to Atlanta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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