NPIMap

Organization Active NPI

Life University

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1821662941
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE UNIVERSITY
Practice address
1415 Barclay Circle
Marietta, GA 30060
Phone
(770) 792-6100
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Tammy Aileen Cagle, EOD
Title
Director of Clinic Business
Phone
(770) 426-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1415 Barclay Circle
Marietta, GA 30060

Mailing address

1415 Barclay Circle
Marietta, GA 30060
Phone (770) 792-6100

National Provider Directory

National Provider Directory
Tax ID family
Life Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1821662941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIRCLE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-792-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIRCLE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-792-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC BUSINESS",
        "authorized_official_telephone_number": "770-426-2786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EOD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.