Active NPI
Lifeboat Medical Associates
- Specialist
- Peachtree City, GA
National Provider Identifier
1699986463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- LIFEBOAT MEDICAL ASSOCIATES
- Practice address
- 1201 Georgian Park
Peachtree City, GA 30269-6972 - Phone
- (770) 631-4873
- Fax
- (770) 631-0684
- NPI assigned
- May 24, 2007
- 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
- Sara A O'Heron, M.D.
- Title
- Owner
- Phone
- (770) 631-4873
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1201 Georgian Park
Peachtree City, GA 30269-6972
Mailing address
1201 Georgian Park
Peachtree City, GA 30269-1201
Phone (770) 631-4873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437163946 | Other | GA | NPI |
National Provider Directory
National Provider DirectoryLocations
10 Eastbrook Bnd
Ste 201
Peachtree Cty, GA 30269
Phone (770) 631-4873
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Peachtree City, GA
- NPI 1437163946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1699986463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GEORGIAN PARK",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691201",
"telephone_number": "770-631-4873",
"fax_number": "770-631-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 GEORGIAN PARK",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302696972",
"telephone_number": "770-631-4873",
"fax_number": "770-631-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEBOAT MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "O'HERON",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-631-4873",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437163946",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.