Connor Petty

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5021620 Issued in NC

Practice address

6011 Farrington Rd
Chapel Hill, NC 27517-8168

Phone

(984) 974-7337

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  Medicare reassignment NPD
• Baha Al Deen Abuesheh MD PC

  • Neurology Physician
  • Ardmore, OK
  • NPI 1184631756
  Medicare reassignment NPD
• Park Ophthalmology

  • Ophthalmology Physician
  • Durham, NC
  • NPI 1619150141
  NPD (past)
• University of North Carolina Hospitals at Chapel Hill

  • Community/Retail Pharmacy
  • Morrisville, NC
  • NPI 1134928542
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1497539498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178168",
            "telephone_number": "984-974-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178168",
            "telephone_number": "984-974-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Petteway
• Erica Pettigrew, M.D.
• Zachary James Pettigrew, MD
• Karson Pettit
• Nicholas Pettit, DMD
• Anna Rebecca Peyton, DO
• Marina Pezzella, RD, LDN
• Samantha Pflum, PHD
• Angelica Lan Pham, MD
• Nguyen H Pham, DO

• Nurse Practitioner in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.