Active NPI
Balanced Bodies Wellness Cobb
- Multi-Specialty Clinic/Center
- Marietta, GA
National Provider Identifier
1194622175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BALANCED BODIES WELLNESS COBB
- Practice address
- 3451 Ernest W Barrett Pkwy NW Ste 160
Marietta, GA 30064-5037 - Phone
- (678) 919-4845
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Bertram
- Title
- Owner
- Phone
- (678) 983-8114
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
3451 Ernest W Barrett Pkwy NW Ste 160
Marietta, GA 30064-5037
Mailing address
801 Dorado Cir SE
Marietta, GA 30067-4730
Phone (678) 983-8114
National Provider Directory
National Provider DirectoryLocations
3451 Ernest W Barrett Pkwy NW
Ste 160
Marietta, GA 30064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1194622175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 DORADO CIR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674730",
"telephone_number": "678-983-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 ERNEST W BARRETT PKWY NW STE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300645037",
"telephone_number": "678-919-4845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED BODIES WELLNESS COBB",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "BERTRAM",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-983-8114"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.