NPIMap

Organization Active NPI

Backsmart Health LLC - North Ga Diagnostic & Rehab

Doing business as North GA Diagnostic & Rehab

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1457678682
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005842 Issued in GA
Legal business name
BACKSMART HEALTH LLC - NORTH GA DIAGNOSTIC & REHAB
Doing business as
North GA Diagnostic & Rehab
Practice address
5485 Bethelview Rd Ste 360-225
Cumming, GA 30040-9735
Phone
(770) 888-4288
Fax
(678) 947-3203
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Gregory King, DCNPI 1881633055
Title
Owner
Phone
(770) 888-4288

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR005842 GA Primary

Addresses

Primary practice location

5485 Bethelview Rd Ste 360-225
Cumming, GA 30040-9735

Mailing address

5485 Bethelview Rd Ste 360-225
Cumming, GA 30040-9735
Phone (770) 888-4288

Other names 1

  • North GA Diagnostic & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110401000506 GA Part B Supplier - Clinic/Group Practice 4789868589 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Alpharetta, GA; Cumming, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5485 Bethelview Rd
Ste 360
Cumming, GA 30040

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1457678682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-225",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "770-888-4288",
            "fax_number": "678-947-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-225",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "770-888-4288",
            "fax_number": "678-947-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKSMART HEALTH LLC - NORTH GA DIAGNOSTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-888-4288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North GA Diagnostic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North GA Diagnostic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.