JUANITA JOSEPH
NPI 1114756772
Nurse Anesthetist, Certified Registered in Marietta, GA
About Juanita Joseph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUANITA JOSEPH (NPI 1114756772) is an individual nurse anesthetist, certified registered in Marietta, Georgia, licensed in Georgia (CRNA296219) and active in the NPI registry since July 2024. She is affiliated with Wellstar Kennestone Regional Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Juanita Joseph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Juanita Joseph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30060
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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 Juanita Joseph's NPI number?
The NPI number for Juanita Joseph is 1114756772. It was assigned to this individual provider in the NPPES registry on July 31, 2024.
Where is Juanita Joseph located?
Juanita Joseph practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 702-1806.
What is Juanita Joseph's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Juanita Joseph enrolled in Medicare?
Yes. Juanita Joseph is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Juanita Joseph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Joseph reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and Mak Anesthesia Holdings LLC (Kennesaw, GA). 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 Juanita Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Juanita Joseph accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Juanita Joseph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Juanita Joseph affiliated with any hospitals?
According to CMS data, Juanita Joseph is affiliated with Wellstar Kennestone Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Juanita Joseph was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Juanita Joseph · NPI 1114756772
Nurse Anesthetist, Certified Registered physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1114756772 (Entity type: Individual)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** CRNA296219 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (770) 702-1806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1083027320, Marietta, GA); Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114756772) · Data from the CMS NPPES public registry.