Joseph Henry Kanclerz, MSN, NP-C, RNFA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN177592 Issued in GA

Practice address

5742 Allee Way
Braselton, GA 30517-6268

Phone

(678) 591-8344

NPI assigned

Apr 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Joey Kanclerz Other name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Surgical Assistants, LLC

  • Nurse Practitioner
  • Braselton, GA
  • NPI 1063687267
  Medicare reassignment NPD Authorized official
• Southern Surgical Assistants LLC

  • Nurse Practitioner
  • Cumming, GA
  • NPI 1417224650
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1164697355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7042",
            "city": "CHESTNUT MOUNTAIN",
            "state": "GA",
            "postal_code": "305020042",
            "telephone_number": "678-591-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 ALLEE WAY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176268",
            "telephone_number": "678-591-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCLERZ",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "MSN, NP-C, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN177592",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN177592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEY",
            "last_name": "KANCLERZ",
            "credential": "MSN, NP-C, RNFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelley L Johnson, FNP-BC
• Johnsons Hometown Pharmacy Inc
• Dewina Jones
• Angela M Joseph, PTA
• Fnu Kalpana
• Hannah Kanu
• Devendar Katkoori, M.D
• Kelly E Redwine LPC LLC
• Melissa Kaye Kemp, FNP-C
• Frederica Kennedy, OTR/L, OTD

• Nurse Practitioner in Braselton, GA
• Providers in Braselton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.