Lifemd South Central Patient Medical Care PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFEMD SOUTH CENTRAL PATIENT MEDICAL CARE PA

Practice address

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923

Phone

(646) 263-3680

NPI assigned

Jun 28, 2023

Last updated

May 28, 2024By 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

Eric Yecies

Title

Cco

Phone

(800) 852-1575

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NE, OK, KY, NJ, NC, TN, FL, LA, MO, IN, GA, MS, CA, OH, NY16 enrollments

Enrollment records 16

Locations

Practitioners 24

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.

• Maria Carmela Ablao, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1265053516

  Single Specialty, TX

  Medicare reassignment NPD
• Mary Suzanne Ryan Biggs, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1508913237
  Medicare reassignment NPD
• Janice Beverly T. Cahambing, ANP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasanton, CA
  • NPI 1356699912

  TX

  Medicare reassignment NPD
• Lauren Ashley Cramer, PA-C

  • Medical Physician Assistant
  • Rochester, NY
  • NPI 1023492998
  Medicare reassignment NPD
• Benjamin Joseph Domingo, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1902948086

  Single Specialty, TX

  Medicare reassignment NPD
• Taryn Leigh Facella-Scheuer, APN

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1407296403

  NJ

  Medicare reassignment NPD
• Mindy M. Gray, MS, RDN

  • Registered Dietitian
  • Grain Valley, MO
  • NPI 1669968236

  Single Specialty

  Medicare reassignment NPD
• Tenae Griffin, NP

  • Internal Medicine Physician
  • Kings Mountain, NC
  • NPI 1245709070
  Medicare reassignment NPD
• Heather Hanono, FNP-BC

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1235892050
  Medicare reassignment NPD
• Qumara Hill-Smith

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1871906024
  Medicare reassignment NPD
• Douglas E Lucas, DO

  • Orthopaedic Surgery Physician
  • Hendersonville, NC
  • NPI 1952537532
  Medicare reassignment NPD
• Holly Cresswell Lunsford, FNP-C

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1891043105

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1871270348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "800-852-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SAINT PAUL ST STE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013923",
            "telephone_number": "646-263-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMD SOUTH CENTRAL PATIENT MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "YECIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-852-1575"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Family Health & Wellness, PLLC
• Lifeline Hospice Care Inc
• Lifeline Medical Supplies
• Lifeline of Hope Family Services
• Lifeline Urgent Care LLC (Hybrid Health Clinics)
• Lifemend DME LLC
• Lifenet
• Lifenet
• Lifenet
• Lifenet Services Inc.

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.