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

Dr. Michael Ian Quackenbush, DO

Individual provider Orthopaedic Trauma Physician · NPI 1962607424

Dr. Michael Ian Quackenbush, DO is an Orthopedic Surgery in Roswell, Georgia. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2003, 23 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, New Jersey and Ohio.

Years since qualifying
23
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
GA, NJ, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1285 Hembree Rd Ste 200A
Roswell, GA 30076-5720
Phone: (770) 475-2710
Fax: (770) 360-0498
Show map & directions

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

Additional practice locations (1)

  • 4500 Hospital Blvd Ste 230, Roswell, GA 30076-0001 — (770) 956-4560

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 072421 (GA)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 34009678 (OH)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 25MB08109900 (NJ)

Record details

NPI number1962607424
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2007
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare