Complete Brain Testing LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

COMPLETE BRAIN TESTING LLC

Practice address

425 E Crossville Rd Ste 101
Roswell, GA 30075-3058

Phone

(678) 214-8547

NPI assigned

Mar 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dr. Michael Duckett, DO

Title

Owner Ceo

Phone

(404) 403-5689

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl Tyler Shenkman, M.D., J.D., LLM

  • Neurology Physician
  • Clearwater, FL
  • NPI 1083664874

  GA

  Medicare reassignment NPD
• Christian Holliday, DC

  • Chiropractor
  • Roswell, GA
  • NPI 1871258772
  NPD
• Michael J Duckett, D.C.

  • Chiropractor
  • Alpharetta, GA
  • NPI 1205191962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1508667940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753058",
            "telephone_number": "678-214-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E CROSSVILLE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753058",
            "telephone_number": "678-214-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE BRAIN TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "DR. MICHAEL",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "404-403-5689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorectal Pharmacy Inc
• Kari B. Comer, SLP
• Community Wellness Support of Ga LLC
• Compbenefits Company
• Compbenefits Insurance Company
• Yvonne Conaway, WHNP
• Concierge Medical MGMT Group
• Concord Behavorial Health and Wellness LLC
• Bryant Thomas Conger Jr., M.D.
• Katelyn Hornbuckle Conley, DMD

• Medical Specialty Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.