NPIMap

Organization Active NPI

Lifeline Medical Center, LLC

  • Primary Care Clinic/Center
  • Stone Mountain, GA
National Provider Identifier
1801690722
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LIFELINE MEDICAL CENTER, LLC
Practice address
4910 Memorial Dr Ste a
Stone Mountain, GA 30083-4148
Phone
(770) 545-8332
Fax
(770) 545-8334
NPI assigned
Apr 1, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. Safia A Pirani, MD
Title
Owner
Phone
(770) 329-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4910 Memorial Dr Ste a
Stone Mountain, GA 30083-4148

Mailing address

4855 River Green Pkwy Ste 700
Duluth, GA 30096-8337
Phone (770) 545-8332

National Provider Directory

National Provider Directory
Tax ID family
Lifeline Primary Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1801690722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 700",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968337",
            "telephone_number": "770-545-8332",
            "fax_number": "678-868-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MEMORIAL DR STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834148",
            "telephone_number": "770-545-8332",
            "fax_number": "770-545-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "PIRANI",
        "authorized_official_first_name": "SAFIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-329-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.