NPI age
3 years
Enumerated 2023-01-23
● Active
Type 1 · Individual
Michael Connor Self, NP
Self is 1 of 9 nurse practitioner providers in Marietta and 1 of 90 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 90 active nurse practitioner providers in Georgia.
NPI age
3 years
↓ 3 yr below median (6 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
41% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Practice location
677 Church St Ne
Marietta, GA 300601101
Mailing address
677 Church St Ne Ste 100
Marietta, GA 300601101
Additional practice locations
1 secondary location on file with NPPES.
Location 2
171 Ashley Ave
Charleston, SC 294254526
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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