NPIMap

Organization Active NPI

Be the Light Chiropractic

  • Physical Medicine & Rehabilitation Physician
  • Lawrenceville, GA
National Provider Identifier
1477043123
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BE THE LIGHT CHIROPRACTIC
Practice address
805 Hi Hope Rd
Lawrenceville, GA 30043-4544
Phone
(316) 235-4448
NPI assigned
May 17, 2018
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Dr. Angella PerottiNPI 1700312535
Title
Owner/Chiropractor
Phone
(678) 328-7146

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Family Medicine Physician 207Q00000X
Physical Medicine & Rehabilitation Physician 208100000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

805 Hi Hope Rd
Lawrenceville, GA 30043-4544

Mailing address

805 Hi Hope Rd
Lawrenceville, GA 30043-4544
Phone (316) 235-4448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250103000710 GA Part B Supplier - Clinic/Group Practice 9739616723 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory
Tax ID family
Be the Light Body and Spine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3750 Venture Dr
Ste D9
Duluth, GA 30096

Practitioners & affiliated clinicians

Practitioners 3

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": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1477043123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HI HOPE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434544",
            "telephone_number": "316-235-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HI HOPE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434544",
            "telephone_number": "316-235-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE THE LIGHT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "PEROTTI",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "678-328-7146",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.