Active NPI
Thomas Lifetime Health LLC
- Family Medicine Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THOMAS LIFETIME HEALTH LLC
- Practice address
- 575 Professional Dr Ste 310
Lawrenceville, GA 30046-3300 - Phone
- (678) 376-5858
- Fax
- (678) 376-5500
- NPI assigned
- Apr 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen James Parker Thomas, MD
- Title
- Physician/Owner
- Phone
- (404) 783-4503
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
575 Professional Dr Ste 310
Lawrenceville, GA 30046-3300
Mailing address
575 Professional Dr Ste 310
Lawrenceville, GA 30046-3300
Phone (678) 376-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2291552 | Thomas Lifetime Health | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
208 Hudson St
Cumming, GA 30040
Phone (404) 887-5835
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Decatur, GA
- NPI 1679528129
-
- Medical Physician Assistant
- Lawrenceville, GA
- NPI 1902026651
-
- Family Medicine Physician
- Cumming, GA
- NPI 1609885813
-
- Physician Assistant
- Gainesville, GA
- NPI 1801866488
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1861402695
-
- Physician Assistant
- Lawrenceville, GA
- NPI 1487664405
-
- Physician Assistant
- Tampa, FL
- NPI 1194769307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1265137822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 PROFESSIONAL DR STE 310",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463300",
"telephone_number": "678-376-5858",
"fax_number": "678-376-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 PROFESSIONAL DR STE 310",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463300",
"telephone_number": "678-376-5858",
"fax_number": "678-376-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS LIFETIME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JAMES PARKER",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "404-783-4503",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.