Organization Active NPI

Life Choice Health Center, LLC

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1386538387
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LIFE CHOICE HEALTH CENTER, LLC
Practice address
2000 E Lamar Blvd Ste 600
Arlington, TX 76006-7361
Phone
(773) 559-1397
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dr. Georgena Diana Wiley, DNPNPI 1346587680
Title
Owner
Phone
(817) 383-1341

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2000 E Lamar Blvd Ste 600
Arlington, TX 76006-7361

Mailing address

2000 E Lamar Blvd Ste 6006
Arlington, TX 76006-7346
Phone (817) 383-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250902003419 TX Part B Supplier - Clinic/Group Practice 7012418874 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX
O20251028001967 IL Part B Supplier - Clinic/Group Practice 7012418874 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1130 S Canal St
Ste 1399
Chicago, IL 60607
Phone (773) 559-1397

2000 E Lamar Blvd
Ste 6006
Arlington, TX 76006

752 N Main St
Unit 471
Mansfield, TX 76063

Practitioners & affiliated clinicians

Practitioners 1

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": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1386538387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 6006",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067346",
            "telephone_number": "817-383-1341",
            "fax_number": "817-890-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067361",
            "telephone_number": "773-559-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "GEORGENA",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-383-1341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.