Kelsey Ann Krivis, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP239942 Issued in GA

Practice address

11758 Jones Bridge Road
Johns Creek, GA 30005

Phone

(770) 772-1830

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Rolwood Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Physicians Express Care LLCGroup PAC ID 7315109063, 5 clinicians

Physician'S Express Care at Towne Lake LLCGroup PAC ID 8628204732, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northside Urgent Care Holding, LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1679962237
  Medicare reassignment Care Compare group NPD
• Physician'S Express Care at Towne Lake LLC

  • Urgent Care Clinic/Center
  • Woodstock, GA
  • NPI 1902230329
  Medicare reassignment Care Compare group NPD
• Physicians Express Care LLC

  • Urgent Care Clinic/Center
  • Alpharetta, GA
  • NPI 1528336674
  Medicare reassignment Care Compare group NPD
• Physician'S Express Care at Creekstone

  • Urgent Care Clinic/Center
  • Cumming, GA
  • NPI 1578955795
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1912492489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11758 JONES BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11758 JONES BRIDGE ROAD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-772-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 Peachtree Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416834",
            "country_code": "US",
            "telephone_number": "770-772-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIVIS",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP239942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROLWOOD",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine S Koniaris, M.D.
• Kelly Ann Konicki, LMT, CLT
• Christina Renee Kopsick, NP
• Deborah Ann Kowalchuk, M.D.
• Mohan K Krishnamachary, MD
• Mythilee Kugathasan, DMD
• Sang Kwak
• So Mee Kwon, FNP
• Soonji Kwon
• Samantha Labolle

• Family Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.