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INTEGRATIVE BODY HEALTH, PC
NPI 1083057434
Chiropractor - Rehabilitation in Carrollton, GA

Active since April 15, 2013
775 S PARK ST, SUITE 102, CARROLLTON, GA 30117(770) 832-1640(770) 832-1649 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Integrative Body Health, Pc NPPES

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

INTEGRATIVE BODY HEALTH, PC (NPI 1083057434) is a healthcare organization registered as a rehabilitation in Carrollton, Georgia and active in the NPI registry since April 2013. The organization lists Clyde Emir Navarro, President, as its authorized official.

NPPES Registry Identity

NPI1083057434
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameINTEGRATIVE BODY HEALTH, PC
Location Address775 S PARK ST, SUITE 102Carrollton, GA 30117-3825
Mailing Address775 S Park St, Suite 102Carrollton, GA 30117-3825 · (770) 832-1640 · Fax (770) 832-1649
Phone(770) 832-1640
Fax(770) 832-1649
Organization SubpartNo
Authorized OfficialClyde Emir NavarroPresident · (678) 485-3155
Enumeration DateApril 15, 2013
Last NPPES UpdateJune 19, 2013
✔ NPI 1083057434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in GA · CHIR008718
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
775 S PARK ST, Carrollton, GA 30117
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Body Health, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrative Body Health, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gwyndolyn Goodwin, D.C.
Chiropractic
NPI 1376687210
775 S PARK ST SUITE 102
Carrollton, GA 30117
(678) 485-3155
✔ Accepts MedicareSame address
Clyde Navarro Serrano, D.C.
Chiropractic
NPI 1598833634
775 S PARK ST SUITE 102
Carrollton, GA 30117
(678) 485-3155
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrative Body Health, PC's NPI number?

The NPI number for Integrative Body Health, PC is 1083057434. It was assigned to this organization in the NPPES registry on April 15, 2013.

Where is Integrative Body Health, PC located?

Integrative Body Health, PC is located at 775 S Park St Suite 102, Carrollton, GA 30117. The listed phone number is (770) 832-1640.

What is Integrative Body Health, PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Integrative Body Health, PC enrolled in Medicare?

Yes. Integrative Body Health, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Body Health, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Integrative Body Health, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrative Body Health, PC was last updated on June 19, 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.