ENERGY MEDICAL GROUP
NPI 1023424181
Clinic/Center - Health Service in Marietta, GA

Active since July 09, 2014
4930 DAVIDSON RD NE, 100, MARIETTA, GA 30068(678) 973-0635 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Energy Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENERGY MEDICAL GROUP (NPI 1023424181) is a healthcare organization registered as a health service in Marietta, Georgia and active in the NPI registry since July 2014. The organization lists James Broussard, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023424181
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameLIFEQUEST EAST MARIETTA LLC
Location Address4930 DAVIDSON RD NE, 100Marietta, GA 30068-4661
Mailing Address3362 Acworth Summit Blvd NwAcworth, GA 30101-5770 · (678) 973-0635
Organization SubpartNo
Authorized OfficialJames BroussardVice President · (678) 973-0635
Enumeration DateJuly 9, 2014
NPI 1023424181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in GA · 33753
4930 DAVIDSON RD NE, Marietta, GA 30068

Other Names 1

Doing Business AsEnergy Medical Group

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifequest East Marietta LLC's NPI number?

The NPI number for Lifequest East Marietta LLC is 1023424181. It was assigned to this organization in the NPPES registry on July 9, 2014. The provider is doing business as Energy Medical Group.

Where is Lifequest East Marietta LLC located?

Lifequest East Marietta LLC is located at 4930 Davidson Rd NE 100, Marietta, GA 30068. The listed phone number is (678) 973-0635.

What is Lifequest East Marietta LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Lifequest East Marietta LLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.