OrganizationActive
Back to Life Medical Group, LLC
NPI 1346526530 · Non-Pharmacy Dispensing Site · Canton, GA
Back to Life Medical Group, LLC is a Non-Pharmacy Dispensing Site organization in Canton, GA (NPI 1346526530).
Provider details
- NPI number
- 1346526530
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Back to Life Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Satish Cuddapah, Medical Director(770) 345-2000
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
557 Riverstone Pkwy
Suite 140
Canton, GA 30114-5223
Phone: (770) 345-2000
Fax: (770) 345-4524
Street-level locationGet directions
Mailing address
557 Riverstone Pkwy
Canton, GA 30114-5223
Other names (DBA / former)
- Doing business as
- Georgia Pain Treatment Centers
Registry dates
- Enumerated
- 2011-11-01
- Last updated
- 2015-06-22
Frequently asked questions
- What is Back to Life Medical Group, LLC's NPI number?
- Back to Life Medical Group, LLC's National Provider Identifier (NPI) is 1346526530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back to Life Medical Group, LLC?
- Back to Life Medical Group, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Back to Life Medical Group, LLC located?
- Back to Life Medical Group, LLC's practice location on file with NPPES is 557 Riverstone Pkwy, Canton, GA 30114-5223.
- What is Back to Life Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Back to Life Medical Group, LLC is (770) 345-2000.
- Who is the authorized official for Back to Life Medical Group, LLC?
- The authorized official listed on Back to Life Medical Group, LLC's NPPES record is Satish Cuddapah, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back to Life Medical Group, LLC's NPI active?
- Yes — Back to Life Medical Group, LLC's NPI (1346526530) is active in the NPPES registry as of the last update on 2015-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.