Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Christopher Ketterer, MD

Individual provider Infectious Disease Physician · NPI 1134393796

Daniel Christopher Ketterer, MD is an Infectious Disease in Lawrenceville, Georgia. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Georgia, Idaho and North Carolina.

Years since qualifying
18
Licensed in
AZ, GA, ID, NC
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1960 Riverside Pkwy Ste 101
Lawrenceville, GA 30043-5945
Phone: (770) 995-0466
Fax: (770) 995-0472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 — (928) 773-2200
  • 5966 W Curtisian Ave, Boise, ID 83704-8801 — (208) 302-5450
  • 301 E Wendover Ave Ste 111, Greensboro, NC 27401-1209 — (336) 832-3257

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 070952 (GA)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 78074 (AZ)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 1371043 (ID)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 2025-04074 (NC)

Record details

NPI number1134393796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2008
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1960 Riverside Pkwy Ste 101, Lawrenceville, GA 30043-5945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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