Back To Life Medical Group, LLC
NPI 1396987152ActiveOrganization· Family Medicine· Canton, GA
Family Medicine in Canton, Georgia, registered in NPPES in March 2009. The authorized official on file is Eric A. Cavaciuti, Owner. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1396987152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2009 |
| Last updated in NPPES | Nov 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 048997 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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