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

Nicholas Faulconer, MD

Individual provider Diagnostic Radiology Physician · NPI 1629430285

Nicholas Faulconer, MD is a Diagnostic Radiology in Marietta, Georgia. Graduated from University of Texas Southwestern Medical School at Dallas in 2016, 10 years ago. Practices with M and B Imaging, PC, a 69-clinician group and works from 2 locations. Licensed in Georgia and Virginia.

Years since qualifying
10
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
GA, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone: (770) 514-2776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-1005 — (434) 924-9400

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 91733 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101265469 (VA)

Record details

NPI number1629430285
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing addressPo Box 3157, Indianapolis, IN 46206-3157

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2016 (10 years in practice)
Group practice M And B Imaging, Pc — 69 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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