THE BACK SHACK LLC
NPI 1003051343
Chiropractor in Stone Mountain, GA

Active since December 15, 2008
6740 JAMES B RIVERS DR, STONE MOUNTAIN, GA 30083(404) 775-9642 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Back Shack Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BACK SHACK LLC (NPI 1003051343) is a healthcare organization registered as a chiropractor in Stone Mountain, Georgia and active in the NPI registry since December 2008. The organization lists David Feschuk, Doctor, as its authorized official.

NPPES Registry Identity

NPI1003051343
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTHE BACK SHACK LLC
Location Address6740 JAMES B RIVERS DRStone Mountain, GA 30083-2235
Mailing Address6740 James B Rivers DrStone Mountain, GA 30083-2235 · (404) 775-9642
Organization SubpartNo
Authorized OfficialDavid FeschukDoctor · (404) 775-9642
Enumeration DateDecember 15, 2008
Last NPPES UpdateApril 23, 2013
NPI 1003051343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · CHIR006338
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6740 JAMES B RIVERS DR, Stone Mountain, GA 30083

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083
Community/Behavioral Health
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083
Counselor (Professional)
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083
Chiropractor
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083
Occupational Therapist
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083
Counselor (Professional)
6740 JAMES B RIVERS DR, SUITES# 5&6
STONE MOUNTAIN, GA 30083
Early Intervention Provider Agency
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Back Shack LLC's NPI number?

The NPI number for The Back Shack LLC is 1003051343. It was assigned to this organization in the NPPES registry on December 15, 2008.

Where is The Back Shack LLC located?

The Back Shack LLC is located at 6740 James B Rivers Dr, Stone Mountain, GA 30083. The listed phone number is (404) 775-9642.

What is The Back Shack LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for The Back Shack LLC was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.