Body Revolution Healthcare Consultants

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

Legal business name

BODY REVOLUTION HEALTHCARE CONSULTANTS

Practice address

11939 Scottish CT
Fayetteville, GA 30215-8052

Phone

(770) 557-6502

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan E Davies, DHA

Title

Principal Consultant

Phone

(770) 557-6502

Specialties & licenses 1

Addresses

Other names 1

• Body Revolution Healthcare Other name

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1013627512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 SCOTTISH CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158052",
            "telephone_number": "770-557-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 SCOTTISH CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158052",
            "telephone_number": "770-557-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baltimore Pl NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082117",
            "country_code": "US",
            "telephone_number": "770-557-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODY REVOLUTION HEALTHCARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRINCIPAL CONSULTANT",
        "authorized_official_telephone_number": "770-557-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Revolution Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fredric Darnell Blocker, LPC
• Tyra Blocker, RBT
• Blue Ocean Laboratory Services LLC
• Board of Commissioners of Fayette County (Fayette County EMS)
• Body in Balance Chiropractic & Wellness Center, LLC
• Body Therapy by George Massages LLC
• Camille Franncine Bolton, DPT
• Holliann Elizabeth Bolton, CNM
• Jazeel Rachel Bonner, BS, RBT
• Natalie Bernett Bonner, FNP

• Occupational Health Chiropractor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Occupational Health Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.