Organization Active NPI

Balanced Bodies Wellness Cobb

  • Multi-Specialty Clinic/Center
  • Marietta, GA
National Provider Identifier
1194622175
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.