NPI age
18 years
Enumerated 2007-06-15
● Active
Type 1 · Individual
DR. Michael Ian Quackenbush, D.O.
Quackenbush is 1 of 18 orthopaedic surgery providers in Roswell and 1 of 1151 in Georgia.
Primary specialty
Orthopaedic Surgery
Plus 2 subspecialties
Licensed in
GA, OH, NJ
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1151 active orthopaedic surgery providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
1285 Hembree Rd, Suite 200a
Roswell, GA 300765720
Mailing address
4500 Hospital Blvd Ste 230
Roswell, GA 300760001
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4500 Hospital Blvd Ste 230
Roswell, GA 300760001
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
-
Orthopaedic SurgeryRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003149994A | |
| 05 (OH) | 2987237 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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