Michael Connor Self, NP - Nurse Practitioner in Marietta, GA

Michael Connor Self, NP is a Nurse Practitioner - Critical Care Medicine based in Marietta, Georgia. Michael Connor Self is licensed to practice in Georgia (license number RN313506) and his current practice location is 677 Church St Ne, Marietta, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 793-5000.

NPI number for Michael Connor Self is 1235844424 and his current mailing address is 677 Church St Ne Ste 100, Marietta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235844424.

Contact Information

Michael Connor Self, NP
677 Church St Ne,
Marietta, GA 30060-1101
(770) 793-5000
Not Available

Map and Direction




Provider's Profile

Full NameMichael Connor Self
GenderMale
SpecialityNurse Practitioner - Critical Care Medicine
Location677 Church St Ne, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235844424
  • Provider Enumeration Date: 01/23/2023
  • Last Update Date: 09/12/2025

Medical Identifiers

Medical identifiers for Michael Connor Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235844424NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC0200XNurse Practitioner - Critical Care Medicine 29347 (South Carolina)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine RN313506 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Connor Self is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Connor Self, NP
677 Church St Ne Ste 100,
Marietta, GA 30060-1101

Ph: (770) 422-2326
Michael Connor Self, NP
677 Church St Ne,
Marietta, GA 30060-1101

Ph: (770) 793-5000

Reviews and Comments


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