Lifelong Primary Care, PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

LIFELONG PRIMARY CARE, PLLC

Practice address

560 N Chancery St
McMinnville, TN 37110-2052

Phone

(931) 414-5595

NPI assigned

May 3, 2024

Last updated

Jul 14, 2025By 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

Sarah Long, PA-CNPI 1477664084

Title

Physician Assistant Certified/Owner

Phone

(615) 780-8445

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780431130. Details of each certification follow.

• CCN 888933 Rural health clinic · Active · Details

Rural health clinic certification: CCN 888933

Legal name

LIFELONG PRIMARY CARE, PLLC

Doing business as

LIFELONG PRIMARY CARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 16, 2025

Last certification

Apr 16, 2025

Ownership / control type

1A

Organization structure

LLCProprietary

Enrollment address

560 N Chancery St
McMinnville, TN 37110-2052

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sarah Long, PA-C

  • Physician Assistant
  • McMinnville, TN
  • NPI 1477664084

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Long, PA-C

  • Physician Assistant
  • McMinnville, TN
  • NPI 1477664084
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1780431130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102052",
            "telephone_number": "931-414-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT CERTIFIED/OWNER",
        "authorized_official_telephone_number": "615-780-8445",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cletis Mathew Lawson, OT
• Dana Dianne Lawson, FNP-BC
• Anna Ledbetter, FNP-BC
• Ronald Lee, LMFT
• Andrius Lescauskas, D.O.
• Calie Lashae Lilienthal
• Linda a Foster MD
• Linda a Foster MD PC (Northstar Primary Care)
• Destiny H Locke, N.P.
• Sarah Long, PA-C

• Rural Health Clinic/Center in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.