NICHOLAS FAULCONER M.D. – NPI #1629430285
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

NICHOLAS FAULCONER is a radiologist located in MARIETTA, GA. NPPES has assigned the NPI number 1629430285 to NICHOLAS FAULCONER on March 23, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jul 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS FAULCONER below.

NPI Profile for
NICHOLAS FAULCONER

NPI Number
1629430285
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS FAULCONER
Credentials
M.D.
Primary location
790 CHURCH ST NE STE 400
MARIETTA, GA 30060-8957
Phone: (770) 514-2776 Fax:
1 Other location(s):
1215 Lee St
Charlottesville, VA 22908-1005
Phone: (434) 924-9400
Fax: (434) 982-1618
Mailing address
PO BOX 3157
INDIANAPOLIS, IN 46206-3157
Phone: (770) 514-2776 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 VA 0101265469

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1215 LEE ST,
CHARLOTTESVILLE, VA 77025-1669

Additional Information

Education
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS - Graduated 2016
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICHOLAS FAULCONER is affiliated with the following medical group(s):
  • HOSPITAL
    • WELLSTAR COBB MEDICAL CENTER
      3950 AUSTELL RD
      AUSTELL, GA 30106
    • WELLSTAR DOUGLAS HOSPITAL
      8954 HOSPITAL DRIVE
      DOUGLASVILLE, GA 30134
    • WELLSTAR KENNESTONE HOSPITAL
      677 CHURCH STREET
      MARIETTA, GA 30060
    • WELLSTAR NORTH FULTON HOSPITAL
      3000 HOSPITAL BOULEVARD
      ROSWELL, GA 30076
    • WELLSTAR PAULDING HOSPITAL
      2518 JIMMY LEE SMITH PARKWAY
      HIRAM, GA 30141

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.