VITAL LIFE CHIROPRACTIC
NPI 1376069476
Chiropractor in Lithia Springs, GA
About Vital Life Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL LIFE CHIROPRACTIC (NPI 1376069476) is a healthcare organization registered as a chiropractor in Lithia Springs, Georgia and active in the NPI registry since August 2017. The organization lists Ronnie Earl Bolar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vital Life 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 Vital Life Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Vital Life Chiropractic's NPI number?
The NPI number for Vital Life Chiropractic is 1376069476. It was assigned to this organization in the NPPES registry on August 21, 2017.
Where is Vital Life Chiropractic located?
Vital Life Chiropractic is located at 865 Thornton Rd Ste B, Lithia Springs, GA 30122. The listed phone number is (334) 321-7275.
What is Vital Life Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Vital Life Chiropractic enrolled in Medicare?
Yes. Vital Life Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Life Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Vital Life Chiropractic. 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 Vital Life Chiropractic was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Vital Life Chiropractic · NPI 1376069476
Chiropractor organization in Lithia Springs, Georgia. Organization record, active in the CMS NPPES registry since August 21, 2017.
## Identity
- **NPI:** 1376069476 (Entity type: Organization)
- **Enumerated:** August 21, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Ronnie Bolar, OWNER
## Practice location
- **Address:** 865 THORNTON RD STE B, Lithia Springs, GA 30122-2607
- **Phone:** (334) 321-7275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1376069476) · Data from the CMS NPPES public registry.