NPIMap

Organization Active NPI

Lifeline Medical Center, LLC

  • Primary Care Clinic/Center
  • Norcross, GA
National Provider Identifier
1245658285
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
056624 Issued in GA
Legal business name
LIFELINE MEDICAL CENTER, LLC
Practice address
3330 Peachtree Corners Cir
Norcross, GA 30092-3695
Phone
(678) 580-0950
Fax
(678) 580-0991
NPI assigned
Apr 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Safia Pirani, MDNPI 1871589572
Title
Owner/Provider
Phone
(678) 580-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 056624 GA Primary

Addresses

Primary practice location

3330 Peachtree Corners Cir
Norcross, GA 30092-3695

Mailing address

3330 Peachtree Corners Cir
Norcross, GA 30092-3695
Phone (678) 580-0950

Other identifiers 2

IdentifierTypeStateIssuer
111838OtherGAMEDICARE NUMBER
267992339BMedicaidGA

Other names 1

  • Lifeline Primary Care Norcross Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141210002206 GA Part B Supplier - Clinic/Group Practice 6002138617 Receives reassigned benefits from 6 practitioners
Practice locations: Clarkston, GA; Lilburn, GA; Norcross, GA; Stone Mountain, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2269040Lifeline Primary Care, Inc3330 Peachtree Corners Circle Suite H, Peachtree Corners, GA 30092Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

3330 Peachtree Corners Cir
Ste H
Norcross, GA 30092
Phone (678) 775-9344

3330 Peachtree Corners Cir
Peachtree Corners, GA 30092
Phone (678) 580-0950

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1245658285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PEACHTREE CORNERS CIR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923695",
            "telephone_number": "678-580-0950",
            "fax_number": "678-580-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PEACHTREE CORNERS CIR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923695",
            "telephone_number": "678-580-0950",
            "fax_number": "678-580-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "PIRANI",
        "authorized_official_first_name": "SAFIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "678-580-0991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "056624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "111838",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267992339B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Primary Care Norcross",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.