Life Medical Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME82833 Issued in FL

Legal business name

LIFE MEDICAL GROUP, LLC

Practice address

14614 Livingston Ave
Lutz, FL 33559-3101

Phone

(813) 972-7979

Fax

(813) 972-2424

NPI assigned

Apr 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Adrianne Maria Ridley-Payne, M.D.

Title

Owner

Phone

(813) 972-7979

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457222400000",
    "number": "1922441054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 LIVINGSTON AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593101",
            "telephone_number": "813-972-7979",
            "fax_number": "813-972-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14614 LIVINGSTON AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593101",
            "telephone_number": "813-972-7979",
            "fax_number": "813-972-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2016-03-06",
        "status": "A",
        "authorized_official_last_name": "RIDLEY-PAYNE",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-972-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME82833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12523258",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davonte Lewiswilliams
• Henrry Alejandro Leyva, MD
• Lfid Holdings PLLC
• Life Connections Counseling Center of Florida, Inc.
• Life Discovery Counseling Center
• Lifechoices Women'S Care, Inc.
• Karen Kemp Lillibridge, LCSW
• Joette Lindley, L.M.T.
• Samantha Sue Lindsay, MD
• Carolyn Elizabeth Linek-Rajapaksha, MD

• General Practice Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2016; 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.