NPI age
14 years
Enumerated 2011-11-01
● Active Type 2 · Organization
Subpart
Back To Life Medical Group, Llc
Back To Life Medical Group, Llc is 1 of 184 non-pharmacy dispensing site organizations in Georgia.
Primary specialty
Non-Pharmacy Dispensing Site
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cuddapah
Medical Director
Last NPPES update
2015-06-22
Source: monthly bulk 2026-05
How this organization compares
Across 184 active non-pharmacy dispensing site providers in Georgia.
NPI age
14 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
557 Riverstone Pkwy, Suite 140
Canton, GA 301145223
Mailing address
557 Riverstone Pkwy, Suite 140
Canton, GA 301145223
Authorized official
Satish Cuddapah, MD
Medical Director
📞 7703452000
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Eric Cavaciuti, DC Chiropractor NPI 1407974538
Specialties
-
Non-Pharmacy Dispensing Site PrimaryA site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Pain Treatment Centers
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Back To Life Medical Group, Llc.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.