Organization Active NPI

Vantage Chiropractic and Functional Rehab LLC

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1275446940
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Dr. Caleb Wilson Dallas, DCNPI 1902718927
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.