Active NPI
Erica Katelyn Connell, RN
- Family Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP711049
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP711049 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Medical Group, P.C. | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Physician First Health Network | Past | 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
- 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.
-
dba North Atlanta Primary Care, P.C.
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
-
dba CMC Pharmacy Centreville
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
-
- Public Health or Welfare Agency
- Alpharetta, GA
- NPI 1598558181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.