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LIFETIME FAMILY MEDICINE LLC
NPI 1053509216
Family Medicine in Dallas, GA

Active since October 11, 2007CLIA Certified · 2 labs
7869 VILLA RICA HWY, DALLAS, GA 30157(770) 459-8449 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, Feb 16, 2023, Jan 26, 2023 and 2 more (5 updates tracked since 2022).

About Lifetime Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME FAMILY MEDICINE LLC (NPI 1053509216) is a healthcare organization registered as a family medicine in Dallas, Georgia and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Lisa H Miles, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1053509216
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFETIME FAMILY MEDICINE,LLC
Location Address7869 VILLA RICA HWYDallas, GA 30157-8638
Mailing Address7869 Villa Rica HwyDallas, GA 30157-8638 · (770) 459-8449
Phone(770) 459-8449
Organization SubpartNo
Authorized OfficialLisa H MilesPractice Manager · (770) 459-8449
Enumeration DateOctober 11, 2007
Last NPPES UpdateMarch 10, 20235 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1053509216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License 052082 (GA)
7869 VILLA RICA HWY, Dallas, GA 30157
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Other Names 1

Doing Business AsLifetime Family Medicine Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1076786

Lifetime Family Medicine · Dallas, GA
Active · expires Mar 31, 2027
CLIA Number11D1076786
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMicheal Miles
Laboratory Phone(770) 459-8449
Laboratory LocationLifetime Family Medicine7869 Villa Rica Highway, Dallas, GA 30157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2153477

Lifetime Family Medicine · Temple, GA
Active · expires Aug 26, 2026
CLIA Number11D2153477
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorMichael Miles
Laboratory Phone(770) 459-8449
Laboratory LocationLifetime Family Medicine431 Sage Street, Temple, GA 30179
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIANG T HA MD
Family Medicine
7869 VILLA RICA HWY
DALLAS, GA 30157
Paulding County (770) 459-8449
JESSICA PALOMBO FNP-C
Nurse Practitioner (Family)
7869 VILLA RICA HWY
DALLAS, GA 30157
Paulding County (770) 459-8449
PRIMARY CARE GROUP OF WEST GEORGIA
Internal Medicine (Pulmonary Disease)
7869 VILLA RICA HWY
DALLAS, GA 30157
Paulding County (770) 838-1570
MRS. ERIN R COSTANZO APRN FNPC
Nurse Practitioner (Family)
7869 VILLA RICA HWY
DALLAS, GA 30157
Paulding County (770) 459-4411
DR. MICHAEL L MILES MD
Family Medicine
7869 VILLA RICA HWY
DALLAS, GA 30157
Paulding County (770) 459-8449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifetime Family Medicine,llc's NPI number?

The NPI number for Lifetime Family Medicine,llc is 1053509216. It was assigned to this organization in the NPPES registry on October 11, 2007. The provider is doing business as Lifetime Family Medicine LLC.

Where is Lifetime Family Medicine,llc located?

Lifetime Family Medicine,llc is located at 7869 Villa Rica Hwy, Dallas, GA 30157. The listed phone number is (770) 459-8449.

What is Lifetime Family Medicine,llc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lifetime Family Medicine,llc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lifetime Family Medicine,llc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lifetime Family Medicine,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifetime Family Medicine,llc was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.