Elite Total Wellness, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

Legal business name

ELITE TOTAL WELLNESS, LLC

Practice address

3335 Cobb Pkwy NW Ste 230
Acworth, GA 30101-8361

Phone

(678) 594-3119

Fax

(678) 368-4922

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Kristina Noel Backenstose, DCNPI 1922371913

Title

Co-Owner

Phone

(678) 594-3119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Kristina Noel Backenstose, DC

  • Chiropractor
  • Acworth, GA
  • NPI 1922371913

  Nutrition

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1548936792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 COBB PKWY NW STE 230",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018361",
            "telephone_number": "678-594-3119",
            "fax_number": "678-368-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 COBB PKWY NW STE 230",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018361",
            "telephone_number": "678-594-3119",
            "fax_number": "678-368-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TOTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "BACKENSTOSE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "678-594-3119",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fady G Ebid, DMD
• Darra M Edwards, MA, PHARMD, BCPS
• Nicole J Edwards, D.C.
• Tiffany Cecile Edwards
• Elite Glam Society
• Linda Mullin Elkins, D.C.
• Deloris R. Elliott, LISW
• Shelley Jo Elliott, LCSW
• Eloquent Health LLC
• James Elsbree, MD

• Nutrition Chiropractor in Acworth, GA
• Providers in Acworth, GA by specialty
• Nutrition Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.