LIVING PROOF CHIROPRACTIC
NPI 1114664976
Chiropractor in Kennesaw, GA

Q: What is Optimum Performance Chiropractic & Wellness LLC.'s specialty?

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

Active since May 13, 2022

1301 SHILOH RD NW STE 420, KENNESAW, GA 30144(703) 084-1084 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2023, May 2, 2023, May 13, 2022 (3 updates tracked since 2022).

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About Living Proof Chiropractic NPPES

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

LIVING PROOF CHIROPRACTIC (NPI 1114664976) is a healthcare organization registered as a chiropractor in Kennesaw, Georgia and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Johns Creek and lists James Ferrante, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1114664976

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameOPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC.

Location Address1301 SHILOH RD NW STE 420Kennesaw, GA 30144-7152

Mailing Address1301 Shiloh Rd Nw Ste 420Kennesaw, GA 30144-7152 · (470) 308-4108

Phone(703) 084-1084

Organization SubpartNo

Authorized OfficialJames FerrantePresident And Ceo · (470) 308-4108

Enumeration DateMay 13, 2022

Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1114664976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

1301 SHILOH RD NW STE 420, Kennesaw, GA 30144

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Other Names 1

Doing Business AsLiving Proof Chiropractic

Secondary Practice Location 1

Location 111130 State Bridge Rd Ste C102Johns Creek, GA 30022-2640 · Phone (770) 521-9008

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)

Living Proof Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Living Proof Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Ferrante, DC

Chiropractic

NPI 1841838356

1301 SHILOH RD NW STE 420
Kennesaw, GA 30144

(470) 308-4108

✔ 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 Optimum Performance Chiropractic & Wellness LLC.'s NPI number?

The NPI number for Optimum Performance Chiropractic & Wellness LLC. is 1114664976. It was assigned to this organization in the NPPES registry on May 13, 2022. The provider is doing business as Living Proof Chiropractic.

Where is Optimum Performance Chiropractic & Wellness LLC. located?

Optimum Performance Chiropractic & Wellness LLC. is located at 1301 Shiloh Rd NW Ste 420, Kennesaw, GA 30144. The listed phone number is (703) 084-1084.

What is Optimum Performance Chiropractic & Wellness LLC.'s specialty?

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

Is Optimum Performance Chiropractic & Wellness LLC. enrolled in Medicare?

Yes. Optimum Performance Chiropractic & Wellness LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Performance Chiropractic & Wellness LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Optimum Performance Chiropractic & Wellness LLC.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optimum Performance Chiropractic & Wellness LLC. was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.