DR. BENNETT DAVID BAYLESS DC
NPI 1093400426
Chiropractor in Cumming, GA

Active since April 11, 2023
515 PEACHTREE PKWY STE 602, CUMMING, GA 30041(678) 456-8859 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bennett David Bayless Dc NPPES

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

DR. BENNETT DAVID BAYLESS DC (NPI 1093400426) is an individual chiropractor in Cumming, Georgia, licensed in Georgia (CHIR010763) and active in the NPI registry since April 2023. He maintains a secondary practice location in Delray Beach and is a graduate of Life Chiropractic College (2021).

NPPES Registry Identity

NPI1093400426
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BENNETT DAVID BAYLESSCredential: DC
Location Address515 PEACHTREE PKWY STE 602Cumming, GA 30041-4806
Mailing Address1314 Calderwood Ct SeSmyrna, GA 30080-3950 · (615) 715-7983
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2021
Enumeration DateApril 11, 2023
NPPES CertifiedMarch 24, 2023
NPI 1093400426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · CHIR010763
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.

515 PEACHTREE PKWY STE 602, Cumming, GA 30041

Secondary Practice Location 1

Location 115280 S Jog Rd Ste DDelray Beach, FL 33446-2169 · Phone (615) 715-7983

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bennett David Bayless Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214383769
PECOS Enrollment IDI20231019002924

Other Providers at the Same Location NPPES 3

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

Dermatology
515 PEACHTREE PKWY STE 602
CUMMING, GA 30041
Dermatology
515 PEACHTREE PKWY STE 602
CUMMING, GA 30041
Chiropractor
515 PEACHTREE PKWY STE 602
CUMMING, GA 30041

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 Bennett Bayless's NPI number?

The NPI number for Bennett Bayless is 1093400426. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Bennett Bayless located?

Bennett Bayless practices at 515 Peachtree Pkwy Ste 602, Cumming, GA 30041. The listed phone number is (678) 456-8859.

What is Bennett Bayless's specialty?

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

Is Bennett Bayless enrolled in Medicare?

Yes. Bennett Bayless is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bennett Bayless was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.