Active NPI
Eric Anthony Cavaciuti, DC
- Chiropractor
- Canton, GA
National Provider Identifier
1407974538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007378
- Practice address
- 557 Riverstone Pkwy
Suite 140
Canton, GA 30114-5223 - Phone
- (770) 345-2000
- Fax
- (770) 345-4524
- NPI assigned
- Mar 27, 2007
- Last updated
- Nov 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007378 | GA | Primary |
Addresses
Primary practice location
557 Riverstone Pkwy
Suite 140
Canton, GA 30114-5223
Mailing address
557 Riverstone Pkwy
Suite 140
Canton, GA 30114-5223
Phone (770) 345-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007378 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Life Medical Group, LLC | Current | Accepting new patients | |
| North Georgia Health Care Group LLC | Current | Accepting new patients | |
| Back to Life | Past | Accepting new patients |
Locations
557 Riverstone Pkwy
Ste 140
Canton, GA 30114
Phone (678) 552-6294
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Georgia Medical Treatment Center
- Emergency Medicine Physician
- Canton, GA
- NPI 1518228022
-
dba Spinal Medical Centers
- Family Medicine Physician
- Canton, GA
- NPI 1396987152
-
dba Georgia Pain Treatment Centers
- Non-Pharmacy Dispensing Site
- Canton, GA
- NPI 1346526530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1407974538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 RIVERSTONE PKWY",
"address_2": "SUITE 140",
"city": "CANTON",
"state": "GA",
"postal_code": "301145223",
"telephone_number": "770-345-2000",
"fax_number": "770-345-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 RIVERSTONE PKWY",
"address_2": "SUITE 140",
"city": "CANTON",
"state": "GA",
"postal_code": "301145223",
"telephone_number": "770-345-2000",
"fax_number": "770-345-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVACIUTI",
"first_name": "ERIC",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.