MICHAEL CONNOR SELF NP
NPI 1235844424
Nurse Practitioner - Critical Care Medicine in Marietta, GA

Q: What is Michael Self's NPI number?

The NPI number for Michael Self is 1235844424. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Q: What is Michael Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Self was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment

677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Jul 7, 2025, Apr 3, 2025 and 3 more (6 updates tracked since 2023).

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About Michael Connor Self Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL CONNOR SELF NP (NPI 1235844424) is an individual critical care medicine provider in Marietta, Georgia, licensed in Georgia (RN313506) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235844424

Entity TypeIndividualMale

Primary Taxonomy363LC0200X

Provider Legal NameMICHAEL CONNOR SELFCredential: NP

Location Address677 CHURCH ST NEMarietta, GA 30060-1101

Mailing Address677 Church St Ne Ste 100Marietta, GA 30060-1101 · (770) 422-2326

Phone(770) 793-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 23, 2023

Last NPPES UpdateSeptember 12, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1235844424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

Licenses✔ Licensed in GA · RN313506✔ Licensed in SC · 29347

677 CHURCH ST NE, Marietta, GA 30060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Connor Self Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527566157

PECOS Enrollment IDI20250812003045

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN MARIE BLALOCK DO

Emergency Medicine

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

JAMIN GRAHAM MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

SAUMYA GURBANI MD, PHD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060

Cobb County (770) 793-7742

JULIA PATRICIA KENDRICK

Registered Nurse

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

DR. HALEY PUCKETT LAWHORN MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MRS. RHONDA KIM LEE NP-C

Registered Nurse (Wound Care)

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-7173

DEVIN HORTON CRNA

Nurse Anesthetist, Certified Registered

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 794-0477

BRITNEY ELIZABETH BECKETT

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Self's NPI number?

The NPI number for Michael Self is 1235844424. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Michael Self located?

Michael Self practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.

What is Michael Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Michael Self enrolled in Medicare?

Yes. Michael Self is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Self accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina and UnitedHealthcare list Michael Self as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Self affiliated with any hospitals?

According to CMS data, Michael Self is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Self was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.