Active NPI
Lifeline Primary Care, Inc
- Primary Care Clinic/Center
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aziz A Pirani, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2333923 | Lifeline Primary Care | Certificate of waiver | Nov 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Lifeline Primary Care Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Duluth, GA
- NPI 1104292630
-
- Primary Care Clinic/Center
- Sandy Springs, GA
- NPI 1780477893
-
- Family Medicine Physician
- Stone Mountain, GA
- NPI 1891525572
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.
-
- Family Medicine Physician
- Lilburn, GA
- NPI 1760622096
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.