Individual provider Active NPI

Timothy Gross, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1164266458
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007666 Issued in GA
Practice address
1323 Roswell Rd
Marietta, GA 30062-3667
Phone
(770) 476-2056
Fax
(770) 794-3038
NPI assigned
Jun 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007666 GA Primary

Addresses

Primary practice location

1323 Roswell Rd
Marietta, GA 30062-3667

Mailing address

1651 Milford Creek Overlook SW
Marietta, GA 30008-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009000307 GA Practitioner - Chiropractic 8527599935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007666GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life University Inc Chiropractor CurrentSince Oct 10, 2025 Accepting new patients
Life University, Inc Chiropractor CurrentSince Oct 10, 2025 Accepting new patients
Whitehall Wellness Center Chiropractor CurrentSince Sep 11, 2024 Accepting new patients
Life University, Inc Chiropractor PastSince Dec 21, 2025 Accepting new patients

Locations

1323 Roswell Rd
Marietta, GA 30062
Phone (770) 426-2946

1323 Roswell Rd
#300
Marietta, GA 30062
Phone (770) 426-2786

1415 Barclay Cir SE
Marietta, GA 30060
Phone (770) 426-2786

1011 N 5th Ave NE
Rome, GA 30165
Phone (706) 234-7000

Interoperability endpoints

  • Direct secure messaging: timothy.gross.p2@direct.life.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1164266458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 MILFORD CREEK OVERLOOK SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300088108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623667",
            "telephone_number": "770-476-2056",
            "fax_number": "770-794-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "TIMOTHY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.