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DERICK MCCONNELL FNP-BC
NPI 1376083956
Nurse Practitioner - Family in Gainesville, GA

Active since March 02, 2017
723 WASHINGTON ST NW, GAINESVILLE, GA 30501(770) 531-0998(678) 433-2059 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2021, Mar 11, 2020, Mar 2, 2017 (3 updates tracked since 2017).

About Derick Mcconnell Fnp-bc NPPES

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

DERICK MCCONNELL FNP-BC (NPI 1376083956) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN234155) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1376083956
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDERICK MCCONNELLCredential: FNP-BC
Location Address723 WASHINGTON ST NWGainesville, GA 30501
Mailing Address723 Washington Street Nw, Suite 2Gainesville, GA 30501 · (770) 531-0998 · Fax (678) 433-2059
Phone(770) 531-0998
Fax(678) 433-2059
Sole ProprietorNo
Enumeration DateMarch 2, 2017
Last NPPES UpdateFebruary 25, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1376083956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN234155
723 WASHINGTON ST NW, Gainesville, GA 30501
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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 Derick Mcconnell's NPI number?

The NPI number for Derick Mcconnell is 1376083956. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Derick Mcconnell located?

Derick Mcconnell practices at 723 Washington St NW, Gainesville, GA 30501. The listed phone number is (770) 531-0998.

What is Derick Mcconnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Derick Mcconnell was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.