Active NPI
Peter S. Bauer, D.C.
- Chiropractor
- Marietta, GA
National Provider Identifier
1700855004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5758
- Practice address
- 1475 Terrell Mill Rd SE
Suite 108
Marietta, GA 30067-6049 - Phone
- (404) 388-7999
- Fax
- (770) 955-2766
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5758 | GA | Primary |
Addresses
Primary practice location
1475 Terrell Mill Rd SE
Suite 108
Marietta, GA 30067-6049
Mailing address
3271 Turtle Lake CT SE
Marietta, GA 30067-5018
Phone (404) 388-7999
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700855004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3271 TURTLE LAKE CT SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675018",
"telephone_number": "404-388-7999",
"fax_number": "770-955-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 TERRELL MILL RD SE",
"address_2": "SUITE 108",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676049",
"telephone_number": "404-388-7999",
"fax_number": "770-955-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "PETER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "5758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.