JUSTIN PAUL CONNELLY FNP-C
NPI 1780571794
Nurse Practitioner - Family in Macon, GA
About Justin Paul Connelly Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN PAUL CONNELLY FNP-C (NPI 1780571794) is an individual family provider in Macon, Georgia, licensed in Georgia (RN292335) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stockbridge, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Paul Connelly Fnp-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Justin Connelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 200 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31217 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31217
MACON, GA 31217
MACON, GA 31217
MACON, GA 31217
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 Justin Connelly's NPI number?
The NPI number for Justin Connelly is 1780571794. It was assigned to this individual provider in the NPPES registry on June 23, 2025.
Where is Justin Connelly located?
Justin Connelly practices at 350 Hospital Dr, Macon, GA 31217. The listed phone number is (404) 387-0218.
What is Justin Connelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Connelly enrolled in Medicare?
Yes. Justin Connelly 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.
Which organizations bill Medicare for Justin Connelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Connelly reassigns Medicare benefits to 3 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Inphynet Primary Care Physicians Southeast PC (Columbus, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). Each 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 Justin Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Justin Connelly was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Justin Paul Connelly, FNP-C · NPI 1780571794
Family physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1780571794 (Entity type: Individual)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN292335 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 HOSPITAL DR, Macon, GA 31217-3838
- **Phone:** (404) 387-0218
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Inphynet Primary Care Physicians Southeast PC (NPI 1770521460, Columbus, GA); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1780571794) · Data from the CMS NPPES public registry.