NICHOLAS FAULCONER M.D.
NPI 1629430285
Radiology - Diagnostic Radiology in Marietta, GA

Active since March 23, 2016PECOS Enrolled
790 CHURCH ST NE STE 400, MARIETTA, GA 30060(770) 514-2776 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2022, Jul 29, 2021, Jul 9, 2021 and 1 more (4 updates tracked since 2016).

About Nicholas Faulconer M.d. NPPES

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

NICHOLAS FAULCONER M.D. (NPI 1629430285) is an individual diagnostic radiology provider in Marietta, Georgia, licensed in Georgia (91733) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1629430285
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNICHOLAS FAULCONERCredential: M.D.
Location Address790 CHURCH ST NE STE 400Marietta, GA 30060-8957
Mailing AddressPo Box 3157Indianapolis, IN 46206-3157 · (770) 514-2776
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateJuly 6, 20224 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
NPI 1629430285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in GA · 91733 Licensed in VA · 0101265469
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
790 CHURCH ST NE STE 400, Marietta, GA 30060

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-1005 · Phone (434) 924-9400 · Fax (434) 982-1618

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas Faulconer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971904590
PECOS Enrollment IDI20220616000124
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 57

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,850 services18 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
533 services475 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
475 services475 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
448 services448 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
143 services142 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
128 services128 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
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 Nicholas Faulconer's NPI number?

The NPI number for Nicholas Faulconer is 1629430285. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Nicholas Faulconer located?

Nicholas Faulconer practices at 790 Church St NE Ste 400, Marietta, GA 30060. The listed phone number is (770) 514-2776.

What is Nicholas Faulconer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicholas Faulconer enrolled in Medicare?

Yes. Nicholas Faulconer is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Faulconer accept?

Health plans from Alliant Health Plans, Inc. list Nicholas Faulconer 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 Nicholas Faulconer affiliated with any hospitals?

According to CMS data, Nicholas Faulconer is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center, Wellstar Douglas Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Faulconer was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.