Organization Active NPI

Life Alive, LLC

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1790349686
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE ALIVE, LLC
Practice address
411 W Ponce de Leon Ave
Decatur, GA 30030-2444
Phone
(404) 883-5289
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Authorized official

Name
Janet ChengNPI 1538675962
Title
Owner
Phone
(706) 201-2486

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 Primary

Addresses

Primary practice location

411 W Ponce de Leon Ave
Decatur, GA 30030-2444

Mailing address

1625 Stanwood Ave SE
Atlanta, GA 30317-1911
Phone (706) 201-2486

Other practice location 1

675 Pulaski St Ste 2600
Athens, GA 30601-2387
Phone (706) 201-2486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260209000437 GA Part B Supplier - Clinic/Group Practice 7517446776 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

2080 Prince Ave
Athens, GA 30606
Phone (706) 424-5924

675 Pulaski St
Ste 1600
Athens, GA 30601

675 Pulaski St
Ste 2600
Athens, GA 30601
Phone (706) 201-2486

Practitioners & affiliated clinicians

Practitioners 6

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767484800000",
    "number": "1790349686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STANWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171911",
            "telephone_number": "706-201-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302444",
            "telephone_number": "404-883-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Pulaski St Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306012387",
            "country_code": "US",
            "telephone_number": "706-201-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ALIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-201-2486"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; 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.