Life Transformation Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFE TRANSFORMATION MEDICAL CENTER LLC

Practice address

806 Earl Frye Blvd
Amory, MS 38821-5505

Phone

(662) 597-9000

Fax

(662) 257-2083

NPI assigned

Jan 22, 2016

Last updated

Dec 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Crissy Harmon

Title

Office Manager

Phone

(662) 597-9000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1558728469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215505",
            "telephone_number": "662-597-9000",
            "fax_number": "662-257-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215505",
            "telephone_number": "662-597-9000",
            "fax_number": "662-257-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSFORMATION MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "CRISSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-597-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07227565",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lacy, MD
• Brittany Lawson, OT
• Mandy Ladene Leach, PHARM.D
• Leading Edge Orthopaedics
• James W Lewis, MD
• Lifeline Diabetic
• Katie Lindsey
• Donald Carlisle Livingston, M.D.
• Erin Newman Livingston, M.D.
• John Adam Lochridge, PHARM.D.

• Family Medicine Physician in Amory, MS
• Providers in Amory, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.