FULL BODY REJUVENETION CENTER, LLC
NPI 1790945475
Chiropractor in Lithonia, GA
About Full Body Rejuvenetion Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULL BODY REJUVENETION CENTER, LLC (NPI 1790945475) is a healthcare organization registered as a chiropractor in Lithonia, Georgia and active in the NPI registry since June 2008. The organization lists Nailah Smith, Chiropractor/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)
Full Body Rejuvenetion Center, 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 Full Body Rejuvenetion Center, LLC, 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 Full Body Rejuvenetion Center, LLC's NPI number?
The NPI number for Full Body Rejuvenetion Center, LLC is 1790945475. It was assigned to this organization in the NPPES registry on June 16, 2008.
Where is Full Body Rejuvenetion Center, LLC located?
Full Body Rejuvenetion Center, LLC is located at 3636 Panola Rd Suite B, Lithonia, GA 30038. The listed phone number is (678) 609-1586.
What is Full Body Rejuvenetion Center, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Full Body Rejuvenetion Center, LLC enrolled in Medicare?
Yes. Full Body Rejuvenetion Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Full Body Rejuvenetion Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Full Body Rejuvenetion Center, 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 Full Body Rejuvenetion Center, LLC was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Full Body Rejuvenetion Center, Llc · NPI 1790945475
Chiropractor organization in Lithonia, Georgia. Organization record, active in the CMS NPPES registry since June 16, 2008.
## Identity
- **NPI:** 1790945475 (Entity type: Organization)
- **Enumerated:** June 16, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Nailah Smith, CHIROPRACTOR/OWNER
## Practice location
- **Address:** 3636 PANOLA RD, SUITE B, Lithonia, GA 30038-2733
- **Phone:** (678) 609-1586
## 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:** July 15, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1790945475) · Data from the CMS NPPES public registry.