Active NPI
Charmaine L Faucher, PA-C
- Medical Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003932
- Practice address
- 55 Whitcher Street
Suite 130
Marietta, GA 30060 - Phone
- (770) 590-1078
- Fax
- (770) 422-7306
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003932 | GA | Primary |
Addresses
Primary practice location
55 Whitcher Street
Suite 130
Marietta, GA 30060
Mailing address
4798 Deer Run NW
Kennesaw, GA 30152
Phone (770) 794-4423
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 74.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003932 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Interventional Spine and Pain Management Center, PC | Current | Accepting new patients | |
| The Interventional Spine and Pain Management Center PC | Current | Accepting new patients | |
| Georgia Spine and Brain, PC | Past | Accepting new patients |
Locations
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
Interoperability endpoints
- charmaine.faucher@ispm.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Conyers, GA
- NPI 1518012004
-
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1447963608
-
- Neurological Surgery Physician
- Austell, GA
- NPI 1306876198
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699785253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4798 DEER RUN NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30152",
"telephone_number": "770-794-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER STREET",
"address_2": "SUITE 130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30060",
"telephone_number": "770-590-1078",
"fax_number": "770-422-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUCHER",
"first_name": "CHARMAINE",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.