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

Q: 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.

Q: What is Lifelines Center For Health PLLC's specialty?

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

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: October 25, 2026.

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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifelines Center For Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifelines Center For Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Krista Tabler Gresham, NP

Nurse Practitioner

NPI 1700243730

525 N BRENTWOOD
Lufkin, TX 75904

(936) 205-2778

✔ PECOS✔ Accepts MedicareSame address

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

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.

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.

Is Lifelines Center For Health PLLC enrolled in Medicare?

Yes. Lifelines Center For Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifelines Center For Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lifelines Center For Health PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7 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.