Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Back to Life Medical Group, LLC

Organization Family Medicine Physician · NPI 1396987152

Back to Life Medical Group, LLC provides Family Medicine Physician services in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

557 Riverstone Pkwy Ste 140
Canton, GA 30114-5223 Not confirmed with CMS for 11 years — call before visiting
Phone: (770) 345-2000
Fax: (770) 345-4524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 048997 (GA)

Record details

NPI number1396987152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Cavaciuti — Owner · (770) 345-2000
Other names Spinal Medical Centers
NPI enumeratedMarch 25, 2009
Last updated in NPPESNovember 10, 2014
Mailing address557 Riverstone Pkwy, Suite 140, Canton, GA 30114-5223

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