Organization Active NPI

Lifestyle Physicians LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Greenwood, SC
National Provider Identifier
1831906239
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
LIFESTYLE PHYSICIANS LLC
Practice address
226 Bypass 72 NW
Greenwood, SC 29649-1509
Phone
(864) 990-3373
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
George Mylonakis
Title
Ceo
Phone
(864) 990-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

226 Bypass 72 NW
Greenwood, SC 29649-1509

Mailing address

226 Bypass 72 NW
Greenwood, SC 29649-1509
Phone (864) 990-3373

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lifestylephysicians@protonmail.com Direct

National Provider Directory

National Provider Directory

Locations

226 Bypass 72 NW
Greenwood, SC 29649
Phone (864) 990-3373

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1831906239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BYPASS 72 NW",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491509",
            "telephone_number": "864-990-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BYPASS 72 NW",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491509",
            "telephone_number": "864-990-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MYLONAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-990-3373"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lifestylephysicians@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "email endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "226 Bypass 72 NW",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296491509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.