Bennett David Bayless, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010763 Issued in GA

Practice address

515 Peachtree Pkwy Ste 602
Cumming, GA 30041-4806

Phone

(678) 456-8859

NPI assigned

Apr 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 100 Chiro Bayless, PLLC

  • Chiropractor
  • Delray Beach, FL
  • NPI 1619662046
  NPD Authorized official
• Integrated Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1326247248

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1093400426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CALDERWOOD CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803950",
            "telephone_number": "615-715-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PEACHTREE PKWY STE 602",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414806",
            "telephone_number": "678-456-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15280 S Jog Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334462169",
            "country_code": "US",
            "telephone_number": "615-715-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "BENNETT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata H Batko, MD
• Alexis Battle
• Emily Elizabeth Baumgartner, MSN, FNP
• Katie Nicole Bava
• Scott Baylard, O.D.
• Nancy L Baymiller, RN
• Priya Vamsi Bayyapureddy, M.D.
• Be Healthy Chiropractic, PC
• Scott R Beach, M.D.
• Gail Beard, CAC II, CCS

• Chiropractor in Cumming, GA
• Providers in Cumming, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.