Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juanita Joseph

Individual provider Certified Registered Nurse Anesthetist · NPI 1114756772

Juanita Joseph is a Certified Registered Nurse Anesthetist (CRNA) in Marietta, Georgia. Qualified in 2025, 1 year ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 3 locations. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 702-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1482 Laney Walker Blvd, Augusta, GA 30912-0003 — (678) 756-1341
  • 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 — (770) 702-1806

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA296219 (GA)

Record details

NPI number1114756772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Marietta