CODY WAYNE CONNELL
NPI 1770170342
Nurse Practitioner - Acute Care in Carrollton, GA
About Cody Wayne Connell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY WAYNE CONNELL (NPI 1770170342) is an individual acute care provider in Carrollton, Georgia, licensed in Georgia (APRN-NP261203) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cody Wayne Connell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cody Connell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tanner Medical Center - Carrollton
Acute Care Hospitals · Carrollton, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cody Connell's NPI number?
The NPI number for Cody Connell is 1770170342. It was assigned to this individual provider in the NPPES registry on December 29, 2020.
Where is Cody Connell located?
Cody Connell practices at 706 Dixie St Ste 320, Carrollton, GA 30117. The listed phone number is (770) 836-9326.
What is Cody Connell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Cody Connell enrolled in Medicare?
Yes. Cody Connell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cody Connell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Connell reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cody Connell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Cody Connell affiliated with any hospitals?
According to CMS data, Cody Connell is affiliated with Tanner Medical Center - Carrollton.
When was this NPI record last updated?
The NPPES record for Cody Connell was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Cody Wayne Connell · NPI 1770170342
Acute Care physician in Carrollton, Georgia. Individual provider, active in the CMS NPPES registry since December 29, 2020.
## Identity
- **NPI:** 1770170342 (Entity type: Individual)
- **Enumerated:** December 29, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN-NP261203 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 706 DIXIE ST STE 320, Carrollton, GA 30117-3890
- **Phone:** (770) 836-9326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770170342) · Data from the CMS NPPES public registry.