Individual provider Active NPI

William Reed Conn, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dunwoody, GA
National Provider Identifier
1144030131
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN305723 Issued in GA
Practice address
4546 Barclay Dr
Dunwoody, GA 30338-7147
Phone
(770) 457-7994
NPI assigned
Jan 10, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN305723 GA Primary

Addresses

Primary practice location

4546 Barclay Dr
Dunwoody, GA 30338-7147

Mailing address

4546 Barclay Dr
Dunwoody, GA 30338-7147
Phone (770) 457-7994

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250220004030 GA Practitioner - Nurse Practitioner 7416477450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Bio Behavioral AssociatesGroup PAC ID 4789062159, 4 clinicians

Practice addresses (Care Compare)

4546 Barclay Dr
Suite B
Atlanta, GA 30338-7146
Phone (770) 457-7994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN305723GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bio Behavioral Associates Single Specialty CurrentSince Jan 15, 2025 Accepting new patients

Locations

4546 Barclay Dr
Ste B
Dunwoody, GA 30338
Phone (770) 457-7994

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1144030131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 BARCLAY DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387147",
            "telephone_number": "770-457-7994",
            "fax_number": "770-458-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 BARCLAY DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387147",
            "telephone_number": "770-457-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "WILLIAM",
        "middle_name": "REED",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN305723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.