Active NPI
Lifecycle Primary Healthcare Center PC
Doing business as Lifecycle Healthcare
- Internal Medicine Physician
- Douglasville, GA
National Provider Identifier
1497494314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LIFECYCLE PRIMARY HEALTHCARE CENTER PC
- Doing business as
- Lifecycle Healthcare
- Practice address
- 6853 Douglas Blvd Ste C
Douglasville, GA 30135-7179 - Phone
- (678) 266-7150
- Fax
- (678) 336-1694
- NPI assigned
- May 31, 2022
- 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
- Dr. Debbie R Brewer, MD
- Title
- Medical Director
- Phone
- (678) 266-7150
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
6853 Douglas Blvd Ste C
Douglasville, GA 30135-7179
Mailing address
4529 Cabinwood Turn
Douglasville, GA 30135-1959
Phone (404) 587-6038
Other names 1
- Lifecycle Healthcare
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Douglasville, GA
- NPI 1215209275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1497494314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4529 CABINWOOD TURN",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351959",
"telephone_number": "404-587-6038",
"fax_number": "678-336-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6853 DOUGLAS BLVD STE C",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301357179",
"telephone_number": "678-266-7150",
"fax_number": "678-336-1694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECYCLE PRIMARY HEALTHCARE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "678-266-7150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifecycle Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Douglasville, GA
- Karen Donetta Lewis, PHARM.D.
- Rashone Lewis, MS, BCBA
- Takeina Lewis, RBT
- Life Care Family Practice
- Life Tools Community Development Corporation (The Life Development Center)
- Lifeline Holistic Health LLC
- Lifesmiles of Georgia PC
- Lighthouse Family Chiropractic, P.C.
- Little Heaven Personal Home Care LLC
- Ladejai Little, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.