P Praxis·MD
● Active Type 2 · Organization

Lifequest Kennesaw, Llc

Clinic/Center·Acworth, GA· NPI 1992111280 · Enumerated 2014 · 11 years on NPI
Lifequest Kennesaw, Llc is 1 of 337 clinic/center organizations in Georgia.
NPI age
11 years
Enumerated 2014-07-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broussard
Vice President
Last NPPES update
2014-09-12
Source: monthly bulk 2026-05

How this organization compares

Across 337 active clinic/center providers in Georgia.

NPI age
11 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
3362 Acworth Summit Blvd Nw
Acworth, GA 301015770
📞 6789730635
Mailing address
3362 Acworth Summit Blvd Nw
Acworth, GA 301015770
📞 6789730635

Authorized official

James Broussard
Vice President
📞 6789730635

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #33753 taxonomy 261QH0100X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Energy Medical Group
    Type code 3 recorded 2014-07-08

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 337 Clinic/Center providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related