P Praxis·MD
● Active Type 2 · Organization

Back To Life Medical Group, Llc

Family Medicine·Canton, GA· NPI 1396987152 · Enumerated 2009 · 17 years on NPI
Back To Life Medical Group, Llc is 1 of 5448 family medicine organizations in Georgia.
NPI age
17 years
Enumerated 2009-03-25
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cavaciuti
Owner
Last NPPES update
2014-11-10
Source: monthly bulk 2026-05

How this organization compares

Across 5448 active family medicine providers in Georgia.

NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-03Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
557 Riverstone Pkwy, Suite 140
Canton, GA 301145223
📞 7703452000fax 7703454524
Mailing address
557 Riverstone Pkwy, Suite 140
Canton, GA 301145223
📞 7703452000fax 7703454524

Authorized official

Eric A Cavaciuti
Owner
📞 7703452000

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #048997 taxonomy 207Q00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Spinal Medical Centers
    Type code 3 recorded 2009-03-25

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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