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GEORGIA PAIN TREATMENT CENTERS
NPI 1346526530
Non-Pharmacy Dispensing Site in Canton, GA

Active since November 01, 2011CLIA 11D2017911 · Certificate of Compliance
557 RIVERSTONE PKWY, SUITE 140, CANTON, GA 30114(770) 345-2000(770) 345-4524 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Pain Treatment Centers NPPES

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

GEORGIA PAIN TREATMENT CENTERS (NPI 1346526530) is a healthcare organization registered as a non-pharmacy dispensing site in Canton, Georgia and active in the NPI registry since November 2011. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2027 and lists Satish Cuddapah, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1346526530
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBACK TO LIFE MEDICAL GROUP, LLC
Location Address557 RIVERSTONE PKWY, SUITE 140Canton, GA 30114-5223
Mailing Address557 Riverstone Pkwy, Suite 140Canton, GA 30114-5223 · (770) 345-2000 · Fax (770) 345-4524
Phone(770) 345-2000
Fax(770) 345-4524
Organization SubpartYes
Authorized OfficialSatish CuddapahMedical Director · (770) 345-2000
Enumeration DateNovember 1, 2011
Last NPPES UpdateJune 22, 2015
✔ NPI 1346526530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
557 RIVERSTONE PKWY, Canton, GA 30114
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Other Names 1

Doing Business AsGeorgia Pain Treatment Centers

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D2017911

Back To Life Medical Group · Canton, GA
Active · expires Aug 20, 2027
CLIA Number11D2017911
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorPatricia Allen
Laboratory Phone(770) 345-2000
Laboratory LocationBack To Life Medical Group557 Riverstone Parkway, Suite 140, Canton, GA 30114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

BACK TO LIFE MEDICAL GROUP, LLC
Family Medicine
557 RIVERSTONE PKWY, SUITE 140
CANTON, GA 30114
Cherokee County (770) 345-2000
DR. ERIC ANTHONY CAVACIUTI DC
Chiropractor
557 RIVERSTONE PKWY, SUITE 140
CANTON, GA 30114
Cherokee County (770) 345-2000
NORTH GEORGIA HEALTH CARE GROUP LLC
Emergency Medicine
557 RIVERSTONE PKWY, SUITE 140
CANTON, GA 30114
Cherokee County (770) 345-2000

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 Back To Life Medical Group, LLC's NPI number?

The NPI number for Back To Life Medical Group, LLC is 1346526530. It was assigned to this organization in the NPPES registry on November 1, 2011. The provider is doing business as Georgia Pain Treatment Centers.

Where is Back To Life Medical Group, LLC located?

Back To Life Medical Group, LLC is located at 557 Riverstone Pkwy Suite 140, Canton, GA 30114. The listed phone number is (770) 345-2000.

What is Back To Life Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Back To Life Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2017911) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Back To Life Medical Group, LLC was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.