Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811149016 Individual Practitioner Male Practitioner

Dr. Keith D Quattlebaum , DC

Chiropractor • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Quattlebaum, DC is a registered healthcare professional specializing in Chiropractor in Kennesaw, GA. Practice services are available at 4200 WADE GREEN ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 Wade Green Road

Kennesaw, GA 30144

Telephone 7704272799
Associated Practice Facility / Clinic
🏢 Acupractic Massage Llc Facility NPI 1992977466

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Kennesaw, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
83 Specialists

Practicing in Kennesaw, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA 2169

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1235799354

Doctor of Chiropractic

NPI 1770508145

Doctor of Chiropractic

Nicole Forte

Chiropractor

NPI 1871112714

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2008

Registered at 4200 WADE GREEN ROAD, KENNESAW, GA 30144 (Tel: 7704272799)

📍
Updated Business Mailing Address October 21, 2008

Registered at 4200 WADE GREEN RD NW, KENNESAW, GA 301441237 (Tel: 7704272799)

👤
Provider Name / Credentials Updated October 21, 2008

Recorded as KEITH QUATTLEBAUM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2008

Chiropractor (License #2169 in GA)

🟢
Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811149016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2008
Last Update: October 21, 2008
Sole Proprietor: Yes

Mailing Address

4200 Wade Green Rd Nw

Kennesaw, GA 301441237

Phone: 7704272799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.