NPI age
17 years
Enumerated 2009-02-12
● Active Type 2 · Organization
Kennesaw Mountain Medical Group
Kennesaw Mountain Medical Group is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matechak
Physician
Last NPPES update
2009-02-12
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
17 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1600 Kennesaw Due West Rd Nw, Building 600 Suite 625
Kennesaw, GA 301524301
Mailing address
1600 Kennesaw Due West Rd Nw, Building 600 Suite 625
Kennesaw, GA 301524301
Authorized official
Gregory J Matechak
Physician
📞 7704225880
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Joseph Grise, D.C. Chiropractor NPI 1659528149
- John Lanier, M.D. Physical Medicine & Rehabilitation NPI 1215976394
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.