Organization Active NPI

Lifeline Primary Care, Inc

  • Primary Care Clinic/Center
  • Suwanee, GA
National Provider Identifier
1770313264
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LIFELINE PRIMARY CARE, INC
Practice address
4355 Johns Creek Pkwy Ste 500
Suwanee, GA 30024-9100
Phone
(770) 559-3501
Fax
(678) 868-1100
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Aziz A Pirani, MDNPI 1760622096
Title
Owner / Physician
Phone
(770) 559-3501

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4355 Johns Creek Pkwy Ste 500
Suwanee, GA 30024-9100

Mailing address

4025 Lawrenceville Hwy NW Ste a
Lilburn, GA 30047-2876
Phone (770) 559-3501

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2333923Lifeline Primary Care4355 Johns Creek Parkway, Suite 500, Suwanee, GA 30024Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Lifeline Primary Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4355 Johns Creek Pkwy
Ste 500
Suwanee, GA 30024
Phone (770) 559-3501

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1770313264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 LAWRENCEVILLE HWY NW STE A",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472876",
            "telephone_number": "770-559-3501",
            "fax_number": "678-868-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 JOHNS CREEK PKWY STE 500",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249100",
            "telephone_number": "770-559-3501",
            "fax_number": "678-868-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "PIRANI",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "770-559-3501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.