P Praxis·MD
● Active Type 1 · Individual

Nicholas Faulconer, M.D.

Radiology·Marietta, GA· NPI 1629430285 · Enumerated 2016 · 10 years on NPI
Faulconer is 1 of 103 radiology providers in Marietta and 1 of 1280 in Georgia.
NPI age
10 years
Enumerated 2016-03-23
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
10 years
↓ 9 yr below median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES
2016 2026

Where they practice

Practice location
790 Church St Ne Ste 400
Marietta, GA 300608957
📞 7705142776
Mailing address
Po Box 3157
Indianapolis, IN 462063157
📞 7705142776

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1215 Lee St
Charlottesville, VA 229081005
📞 4349249400fax 4349821618

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #91733VA license #0101265469 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new radiology providers have been added in Marietta in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1280 Radiology providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related