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PRO BODY WELLNESS, LLC
NPI 1740170463
Chiropractor in Smyrna, GA

Active since July 04, 2025
736 WINDY HILL RD SE, SMYRNA, GA 30080(770) 955-3502(770) 874-7753 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pro Body Wellness, Llc NPPES

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

PRO BODY WELLNESS, LLC (NPI 1740170463) is a healthcare organization registered as a chiropractor in Smyrna, Georgia and active in the NPI registry since July 2025. The organization lists Alejandro Medina, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1740170463
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRO BODY WELLNESS, LLC
Location Address736 WINDY HILL RD SESmyrna, GA 30080-1860
Mailing Address736 Windy Hill Rd SeSmyrna, GA 30080-1860 · (770) 955-3502
Phone(770) 955-3502
Fax(770) 874-7753
Organization SubpartNo
Authorized OfficialAlejandro MedinaOwner/ceo · (770) 955-3502
Enumeration DateJuly 4, 2025
NPPES CertifiedJuly 4, 2025
✔ NPI 1740170463 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.
736 WINDY HILL RD SE, Smyrna, GA 30080
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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)

Pro Body Wellness, Llc 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 Pro Body Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alejandro Medina, DC
Chiropractic
NPI 1871250472
736 WINDY HILL RD SE
Smyrna, GA 30080
(770) 955-3502
Same 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 Pro Body Wellness, LLC's NPI number?

The NPI number for Pro Body Wellness, LLC is 1740170463. It was assigned to this organization in the NPPES registry on July 4, 2025.

Where is Pro Body Wellness, LLC located?

Pro Body Wellness, LLC is located at 736 Windy Hill Rd SE, Smyrna, GA 30080. The listed phone number is (770) 955-3502.

What is Pro Body Wellness, LLC's specialty?

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

Is Pro Body Wellness, LLC enrolled in Medicare?

Yes. Pro Body Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Body Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Pro Body 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 Pro Body Wellness, LLC was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.