Individual provider Active NPI

Joseph Anthony Falsetta Jr., NP

  • Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1255033072
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN287322 Issued in GA
Practice address
3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928
Phone
(770) 873-4465
NPI assigned
Mar 17, 2023
Last updated
Mar 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN287322 GA Primary

Addresses

Primary practice location

3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928

Mailing address

3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928
Phone (770) 873-4465

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250403003424 GA Practitioner - Nurse Practitioner 8820466956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Palliative Care of Ga CurrentSince Dec 31, 2024 Accepting new patients

Locations

3660 Cedarcrest Rd
Ste 120
Acworth, GA 30101
Phone (770) 599-2477

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Hospice Care of GaAcworth, GA, CCN 851511 Hospice 5% Or Greater Direct Ownership Interest (20%) Sep 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1255033072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 CEDARCREST RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018928",
            "telephone_number": "770-873-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 CEDARCREST RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018928",
            "telephone_number": "770-873-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALSETTA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN287322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.