MICHAEL DANIEL CONNOLLEY NP-C NPI 1033709498

NPI Information

NPI: 1033709498
Provider Name: MICHAEL DANIEL CONNOLLEY, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WELLSTREET OF GEORGIA PC

PECOS Registration: Yes

Address:
1968 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309
Phone: (404) 605-5000
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Michael Daniel Connolley, NP-C is a family nurse practitioner in Atlanta, GA with 4 years of experience. Michael Daniel Connolley, NP-C NPI is 1033709498. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1968 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309-281
Phone: (404) 605-5000

The NPI 1033709498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN258219	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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