Individual provider · Type 1 NPI

Cody Wayne Connell

Acute Care Nurse Practitioner · Carrollton, GA

NPI number 1770170342 Active

Practice location

706 Dixie St Ste 320
Carrollton, GA 30117-3890

Mailing address

292 Waters Edge Pkwy
Temple, GA 30179-5830

Other practice locations

  • 1365 Clifton Rd NE, Atlanta, GA 30322-3818 · (404) 778-4500

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN-NP261203 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1770170342

Cody Wayne Connell's National Provider Identifier is 1770170342, issued on Dec 29, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Carrollton, GA. The record was last updated on Oct 10, 2025.