Organization Active NPI

Lifeboat Medical Associates

  • Specialist
  • Peachtree City, GA
National Provider Identifier
1699986463
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Feb 21, 2008

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.NPI 1437163946
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1437163946OtherGANPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.