Active NPI
Body in Balance Chiropractic & Wellness Center, LLC
- Chiropractor
- Fayetteville, GA
National Provider Identifier
1962705970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008592
- Legal business name
- BODY IN BALANCE CHIROPRACTIC & WELLNESS CENTER, LLC
- Practice address
- 185 Georgia Ave E
Fayetteville, GA 30214-1615 - Phone
- (770) 461-0055
- NPI assigned
- Dec 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alisha M Mayheu, D.C.
- Title
- Organizer
- Phone
- (404) 353-6030
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008592 | GA | Primary |
Addresses
Primary practice location
185 Georgia Ave E
Fayetteville, GA 30214-1615
Mailing address
185 Georgia Ave E
Fayetteville, GA 30214-1615
Phone (770) 461-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fayetteville, GA
- NPI 1821329293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1962705970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GEORGIA AVE E",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141615",
"telephone_number": "770-461-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 GEORGIA AVE E",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141615",
"telephone_number": "770-461-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY IN BALANCE CHIROPRACTIC & WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-13",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "MAYHEU",
"authorized_official_first_name": "ALISHA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "404-353-6030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Ashlee Block, PA-C
- Fredric Darnell Blocker, LPC
- Tyra Blocker, RBT
- Blue Ocean Laboratory Services LLC
- Board of Commissioners of Fayette County
- Body Revolution Healthcare Consultants
- Body Therapy by George Massages LLC
- Camille Franncine Bolton, DPT
- Holliann Elizabeth Bolton, CNM
- Jazeel Rachel Bonner, BS, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.