Organization Active NPI

John a. Connell, MD, PC

  • Psychiatry Physician
  • Gainesville, GA
National Provider Identifier
1750432993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
033299 & 056299 Issued in GA
Legal business name
JOHN A. CONNELL, MD, PC
Practice address
451 Ee Butler Pkwy
Gainesville, GA 30501-4524
Phone
(770) 534-2767
Fax
(770) 534-6357
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth E Connell
Title
Office Manager
Phone
(770) 534-2767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 033299 & 056299 GA Primary

Addresses

Primary practice location

451 Ee Butler Pkwy
Gainesville, GA 30501-4524

Mailing address

451 Ee Butler Pkwy
Gainesville, GA 30501-4524
Phone (770) 534-2767

National Provider Directory

National Provider Directory

Locations

451 EE Butler Pkwy
Gainesville, GA 30501
Phone (770) 534-2767

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750432993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 EE BUTLER PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014524",
            "telephone_number": "770-534-2767",
            "fax_number": "770-534-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 EE BUTLER PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014524",
            "telephone_number": "770-534-2767",
            "fax_number": "770-534-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. CONNELL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-534-2767",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "033299 & 056299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.