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LIFE HEALING CENTER PC
NPI 1104149160
Psychiatry & Neurology - Psychiatry in Snellville, GA

Active since March 04, 2010
2160 FOUNTAIN DR, SNELLVILLE, GA 30078(678) 344-8268(888) 627-6444 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Oct 17, 2019, Aug 19, 2019 and 1 more (4 updates tracked since 2019).

About Life Healing Center Pc NPPES

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

LIFE HEALING CENTER PC (NPI 1104149160) is a healthcare organization registered as a psychiatry in Snellville, Georgia and active in the NPI registry since March 2010. The organization maintains 2 additional practice locations and lists Muhammad Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1104149160
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIFE HEALING CENTER PC
Location Address2160 FOUNTAIN DRSnellville, GA 30078-7022
Mailing Address2160 Fountain Dr Ste 100Snellville, GA 30078-7022 · (678) 344-8268 · Fax (888) 627-6444
Phone(678) 344-8268
Fax(888) 627-6444
Organization SubpartNo
Authorized OfficialMuhammad AhmedOwner · (678) 344-8268
Enumeration DateMarch 4, 2010
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1104149160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 061687
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2160 FOUNTAIN DR, Snellville, GA 30078
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Secondary Practice Locations 2

Location 1500 Plantation Park DrLoganville, GA 30052-4144 · Phone (678) 344-8268 · Fax (888) 627-6444
Location 21637 Athens Hwy Ste AGrayson, GA 30017-1768 · Phone (678) 733-2656 · Fax (888) 627-6444

Other Identifiers 2

Other1043302037Individual Npi
Medicaid985642402AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Healing Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20100917000834Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Healing Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Muhammad Ahmed, M.D.
Psychiatry
NPI 1043302037
2160 FOUNTAIN DR STE 200
Snellville, GA 30078
(770) 982-2320
✔ PECOS✔ Accepts MedicareSame address
Charles Guillaume, PMHNP
Nurse Practitioner
NPI 1114322419
3991 HIGHWAY 78 W STE 203
Snellville, GA 30039
(770) 978-9393
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Healing Center PC's NPI number?

The NPI number for Life Healing Center PC is 1104149160. It was assigned to this organization in the NPPES registry on March 4, 2010.

Where is Life Healing Center PC located?

Life Healing Center PC is located at 2160 Fountain Dr, Snellville, GA 30078. The listed phone number is (678) 344-8268.

What is Life Healing Center PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Life Healing Center PC enrolled in Medicare?

Yes. Life Healing Center PC is registered in the Medicare PECOS enrollment system.

When is Life Healing Center PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Life Healing Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Life Healing Center PC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Healing Center PC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.