P Praxis·MD
● Active Type 1 · Individual

MR. Travis C Konzelman, AGNP

Nurse Practitioner·Augusta, GA· NPI 1407247158 · Enumerated 2015 · 11 years on NPI
Konzelman is 1 of 109 nurse practitioner providers in Augusta and 1 of 3206 in Georgia.
NPI age
11 years
Enumerated 2015-02-16
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 3 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
3
In the 30% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Practice location
1350 Walton Way
Augusta, GA 30901
📞 7067229011
Mailing address
2490 Riverside Dr, Ste B
MacOn, GA 312041787

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN199709 taxonomy 363L00000X
  • Clinical Nurse Specialist
    Definition to come...
    GA license #RN199709 taxonomy 364SA2100X
  • Nurse Practitioner
    Definition to come...
    GA license #RN199709 taxonomy 363LG0600X
  • Nurse Practitioner
    Definition to come...
    GA license #RN199709 taxonomy 363LP2300X

Identifiers

TypeValueNotes
01 (GA) RN199709 GA LICENSE

Practice context

Part of a multi-provider practice. 266 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Augusta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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