Organization Active NPI

Lifeline Primary Care

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1316495773
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18732 Issued in GA
Legal business name
LIFELINE PRIMARY CARE
Practice address
4855 River Green Pkwy Ste 700
Duluth, GA 30096-8337
Phone
(770) 454-8332
NPI assigned
Sep 14, 2016
Last updated
Apr 1, 2025By the provider in NPPES
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, M.D
Title
Physicain
Phone
(770) 454-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 18732 GA Primary

Addresses

Primary practice location

4855 River Green Pkwy Ste 700
Duluth, GA 30096-8337

Mailing address

4855 River Green Pkwy Ste 700
Duluth, GA 30096-8337
Phone (770) 454-8332

National Provider Directory

National Provider Directory
Tax ID family
Lifeline Primary Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1316495773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 700",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968337",
            "telephone_number": "770-454-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 700",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968337",
            "telephone_number": "770-454-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "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": "PHYSICAIN",
        "authorized_official_telephone_number": "770-454-8332",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "18732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.