Back to Life Medical Group, LLC
NPI 1396987152 · Family Medicine Physician · Canton, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Back to Life Medical Group, LLC is a Family Medicine Physician organization in Canton, GA (NPI 1396987152).
Provider details
- NPI number
- 1396987152
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Cavaciuti, Owner(770) 345-2000
- License
- 048997 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Spinal Medical Centers
Registry dates
- Enumerated
- 2009-03-25
- Last updated
- 2014-11-10
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 1396987152, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- 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.
- Does Back to Life Medical Group, LLC accept Medicare?
- Back to Life Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 Eric Cavaciuti, Owner. 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 (1396987152) is active in the NPPES registry as of the last update on 2014-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.