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
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 9 days 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 (PECOS); accepts Medicare assignment
- **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.