Individual provider Active NPI

Erica Katelyn Connell, RN

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1912527896
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP711049 Issued in GA
Practice address
141 Lacy St NW Ste 100
Marietta, GA 30060-1117
Phone
(770) 615-1350
Fax
(770) 514-6091
NPI assigned
Apr 21, 2020
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP711049 GA Primary
Registered Nurse 163W00000X 1-173672 AL

Addresses

Primary practice location

141 Lacy St NW Ste 100
Marietta, GA 30060-1117

Mailing address

4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
Phone (770) 442-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20211210000866 AL Practitioner - Nurse Practitioner 6406246214 Reassigns benefits to 2 organizations
I20251124004416 GA Practitioner - Nurse Practitioner 6406246214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

141 Lacy St NW
Suite 100
Marietta, GA 30060-1117
Phone (770) 442-1911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP711049GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Nov 17, 2025 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 16, 2021 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 16, 2021 Accepting new patients
Signify Health, LLC CurrentSince May 20, 2024 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

975 9th Ave SW
Ste 210
Bessemer, AL 35022
Phone (205) 933-0987

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

141 Lacy St NW
Ste 100
Marietta, GA 30060
Phone (770) 615-1350

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 5

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1912527896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102",
            "telephone_number": "770-442-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LACY ST NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601117",
            "telephone_number": "770-615-1350",
            "fax_number": "770-514-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ERICA",
        "middle_name": "KATELYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP711049",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-173672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.