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LIFELINES CENTER FOR HEALTH PLLC
NPI 1134622905
Family Medicine in Lufkin, TX

Active since March 17, 2018CLIA 45D2145085 · Waiver
525 N BRENTWOOD, LUFKIN, TX 75904(936) 205-2778(936) 873-8753 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Mar 17, 2018 (2 updates tracked since 2018).

About Lifelines Center For Health Pllc NPPES

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

LIFELINES CENTER FOR HEALTH PLLC (NPI 1134622905) is a healthcare organization registered as a family medicine in Lufkin, Texas and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Krista Gresham, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1134622905
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFELINES CENTER FOR HEALTH PLLC
Location Address525 N BRENTWOODLufkin, TX 75904-7124
Mailing Address525 N BrentwoodLufkin, TX 75904-7124 · (936) 205-2778 · Fax (936) 873-8753
Phone(936) 205-2778
Fax(936) 873-8753
Organization SubpartNo
Authorized OfficialKrista GreshamProvider/owner · (936) 205-2778
Enumeration DateMarch 17, 2018
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1134622905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
525 N BRENTWOOD, Lufkin, TX 75904
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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

CLIA Laboratory Certificates CMS CLIA

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 45D2145085

Lifelines Center For Health Dba Primary Doc · Lufkin, TX
Active · expires Aug 5, 2027
CLIA Number45D2145085
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorMichael G. Iverson
Laboratory Phone(936) 205-2778
Laboratory LocationLifelines Center For Health Dba Primary Doc525 North Brentwood Drive, Lufkin, TX 75904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KIMBERLY MICHELLE DEATON FNP-C
Nurse Practitioner (Family)
525 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 634-3627
KRISTA L TABLER GRESHAM NP
Nurse Practitioner (Family)
525 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 205-2778
DR. MICHAEL GELLATLY IVERSEN MD
Family Medicine
525 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 634-3627
KIMBERLY SCARBER
Nurse Practitioner
525 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 634-3627

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 Lifelines Center For Health PLLC's NPI number?

The NPI number for Lifelines Center For Health PLLC is 1134622905. It was assigned to this organization in the NPPES registry on March 17, 2018.

Where is Lifelines Center For Health PLLC located?

Lifelines Center For Health PLLC is located at 525 N Brentwood, Lufkin, TX 75904. The listed phone number is (936) 205-2778.

What is Lifelines Center For Health PLLC's specialty?

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

Does Lifelines Center For Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2145085) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifelines Center For Health PLLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.