● 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
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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.