Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Wayne Connell

Individual provider Acute Care Nurse Practitioner · NPI 1770170342

Cody Wayne Connell is a Nurse Practitioner in Carrollton, Georgia. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020

Practice location Address checks out

706 Dixie St Ste 320
Carrollton, GA 30117-3890
Phone: (770) 836-9326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1365 Clifton Rd Ne, Atlanta, GA 30322-3818 — (404) 778-4500

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-NP261203 (GA)

Record details

NPI number1770170342
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 29, 2020
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address292 Waters Edge Pkwy, Temple, GA 30179-5830

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Carrollton