NPIMap

Organization Active NPI

Back T0 Balance Health and Wellness

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1417844853
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
BACK T0 BALANCE HEALTH AND WELLNESS
Practice address
3155 N Point Pkwy BLDG F-200
Alpharetta, GA 30005-5481
Phone
(404) 424-4068
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Jade Kalyn StevensNPI 1508422023
Title
Owner
Phone
(805) 588-3154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

3155 N Point Pkwy BLDG F-200
Alpharetta, GA 30005-5481

Mailing address

3155 N Point Pkwy BLDG F-200
Alpharetta, GA 30005-5481
Phone (404) 424-4068

Other names 1

  • Pivotal Pain Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250707002384 GA Part B Supplier - Clinic/Group Practice 0143734814 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

3155 North Point Pkwy
Bldg F200
Alpharetta, GA 30005
Phone (404) 424-4068

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1417844853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY BLDG F-200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055481",
            "telephone_number": "404-424-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY BLDG F-200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055481",
            "telephone_number": "404-424-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK T0 BALANCE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "KALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-588-3154"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivotal Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.