LIFELINE PRIMARY CARE
NPI 1104292630
Family Medicine in Duluth, GA

Q: What is Lifeline Primary Care, Inc's NPI number?

The NPI number for Lifeline Primary Care, Inc is 1104292630. It was assigned to this organization in the NPPES registry on August 19, 2015. The provider is doing business as Lifeline Primary Care.

Q: What is Lifeline Primary Care, Inc's specialty?

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

Active since August 19, 2015

4855 RIVER GREEN PKWY, BUILDING 7, SUITE 700, DULUTH, GA 30096(678) 775-9344 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lifeline Primary Care NPPES

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

LIFELINE PRIMARY CARE (NPI 1104292630) is a healthcare organization registered as a family medicine in Duluth, Georgia and active in the NPI registry since August 2015. The organization lists Brina Lynn Rolison, Business Development, as its authorized official.

NPPES Registry Identity

NPI1104292630

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLIFELINE PRIMARY CARE, INC

Location Address4855 RIVER GREEN PKWY, BUILDING 7, SUITE 700Duluth, GA 30096-8336

Mailing Address4855 River Green Pkwy, Building 7, Suite 700Duluth, GA 30096-8336

Phone(678) 775-9344

Organization SubpartYes

Authorized OfficialBrina Lynn RolisonBusiness Development · (678) 775-9344

Enumeration DateAugust 19, 2015

Last NPPES UpdateAugust 8, 2024

NPPES CertifiedAugust 8, 2024

✔ NPI 1104292630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 056624

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.

4855 RIVER GREEN PKWY, Duluth, GA 30096

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Other Names 1

Doing Business AsLifeline Primary Care

Other Identifiers 1

Medicaid267992339BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

NELLY MIZRAHI M.D.

Family Medicine

4855 RIVER GREEN PKWY, SUITE 700
DULUTH, GA 30096

Gwinnett County (770) 622-0880

DUSKA V DYER MD

Family Medicine

4855 RIVER GREEN PKWY, SUITE 700
DULUTH, GA 30096

Gwinnett County (770) 622-0880

RACHEL MAE VANKEMPEN

Occupational Therapist

4855 RIVER GREEN PKWY
DULUTH, GA 30096

Gwinnett County (470) 499-1116

YOUNG WON KANG M.D. P.C.

Clinic/Center

4855 RIVER GREEN PKWY, #140
DULUTH, GA 30096

Gwinnett County (678) 417-0077

THE VEIN DOCTOR, LLC

Internal Medicine (Cardiovascular Disease)

4855 RIVER GREEN PKWY, SUITE 140
DULUTH, GA 30096

Gwinnett County (678) 528-7078

C.A.R.E. PEDIATRICS, LLC

Clinic/Center (Primary Care)

4855 RIVER GREEN PKWY, SUITE 610
DULUTH, GA 30096

Gwinnett County (770) 232-1444

KAVITA REDDY GONE M.B.B.S.

Family Medicine

4855 RIVER GREEN PKWY
DULUTH, GA 30096

Gwinnett County (770) 622-0880

ARLENE L SALMON PA

Physician Assistant (Medical)

4855 RIVER GREEN PKWY, SUITE 700
DULUTH, GA 30096

Gwinnett County (770) 622-0880

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 Lifeline Primary Care, Inc's NPI number?

The NPI number for Lifeline Primary Care, Inc is 1104292630. It was assigned to this organization in the NPPES registry on August 19, 2015. The provider is doing business as Lifeline Primary Care.

Where is Lifeline Primary Care, Inc located?

Lifeline Primary Care, Inc is located at 4855 River Green Pkwy Building 7, Suite 700, Duluth, GA 30096. The listed phone number is (678) 775-9344.

What is Lifeline Primary Care, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifeline Primary Care, Inc was last updated on August 8, 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.