Active NPI
Vantage Chiropractic and Functional Rehab LLC
- Chiropractor
- Peachtree City, GA
National Provider Identifier
1275446940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VANTAGE CHIROPRACTIC AND FUNCTIONAL REHAB LLC
- Practice address
- 1235 Robinson Rd Ste C
Peachtree City, GA 30269-3832 - Phone
- (770) 766-5478
- Fax
- (470) 300-0041
- NPI assigned
- Sep 24, 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
- Dr. Caleb Wilson Dallas, DC
- Title
- Owner
- Phone
- (770) 337-9932
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1235 Robinson Rd Ste C
Peachtree City, GA 30269-3832
Mailing address
1235 Robinson Rd Ste C
Peachtree City, GA 30269-3832
Phone (770) 766-5478
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Peachtree City, GA
- NPI 1902718927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1275446940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 ROBINSON RD STE C",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693832",
"telephone_number": "770-766-5478",
"fax_number": "470-300-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 ROBINSON RD STE C",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693832",
"telephone_number": "770-766-5478",
"fax_number": "470-300-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANTAGE CHIROPRACTIC AND FUNCTIONAL REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "DALLAS",
"authorized_official_first_name": "CALEB",
"authorized_official_middle_name": "WILSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-337-9932",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.