JUANITA JOSEPH
NPI 1114756772
Student in an Organized Health Care Education/Training Program in Augusta, GA

Q: 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.

Q: What is Juanita Joseph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Juanita Joseph was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 31, 2024Accepts Medicare Assignment

1482 LANEY WALKER BLVD, AUGUSTA, GA 30912(678) 756-1341 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Juanita Joseph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA JOSEPH (NPI 1114756772) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since July 2024. She is affiliated with Wellstar Kennestone Regional Medical Center and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114756772

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJUANITA JOSEPH

Location Address1482 LANEY WALKER BLVDAugusta, GA 30912-0003

Mailing Address792 Heritage Post LnGrayson, GA 30017-1692 · (678) 756-1341

Phone(678) 756-1341

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 31, 2024

NPPES CertifiedJuly 31, 2024

✔ NPI 1114756772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1482 LANEY WALKER BLVD, Augusta, GA 30912

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juanita Joseph 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.

PECOS PAC ID6002308970

PECOS Enrollment IDI20251126004151

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, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY WOODARD PA-C

Physician Assistant