NPIMap

Organization Active NPI

Life University, Inc

Doing business as Center for Health and Optimum Performance - C-HOP

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1902033343
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFE UNIVERSITY, INC
Doing business as
Center for Health and Optimum Performance - C-HOP
Practice address
1415 Barclay Cir SE
Marietta, GA 30060-2943
Phone
(770) 792-6100
NPI assigned
Jun 12, 2009
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFE UNIVERSITY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1415 Barclay Cir SE
Marietta, GA 30060-2943

Mailing address

1415 Barclay Cir SE
Marietta, GA 30060-2943
Phone (770) 426-2809

Other names 1

  • Center for Health and Optimum Performance - C-HOP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421000480 GA Part B Supplier - Clinic/Group Practice 7214927284 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
Practice locations: Marietta, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1902033343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-426-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-792-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNIVERSITY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE UNIVERSITY, INC",
        "enumeration_date": "2009-06-12",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "SHIRLEY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC BUSINESS",
        "authorized_official_telephone_number": "770-426-2786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Health and Optimum Performance - C-HOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 6, 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.