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

Keirsun Crockett, MD

Individual provider Neuroradiology Physician · NPI 1750678967

Keirsun Crockett, MD is a Diagnostic Radiology in Marietta, Georgia. Graduated from University of Florida College of Medicine in 2011, 15 years ago. Practices with Quantum Radiology PC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
15
Trained at
University of Florida College of Medicine
Licensed in
GA, VA
In the registry since
2011
Specialties on file
3
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

790 Church St NE
Marietta, GA 30060-7282
Phone: (678) 239-0420
Show map & directions

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

Additional practice locations (1)

  • 12200 Warwick Blvd, Newport News, VA 23601-2344 — (757) 534-6111

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 077719 (GA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 077719 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116023629 (VA)

Record details

NPI number1750678967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Quantum Radiology Pc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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