THOMAS LIFETIME HEALTH LLC
NPI 1265137822
Family Medicine in Lawrenceville, GA

Active since April 03, 2023CLIA 11D2291552 · Waiver
575 PROFESSIONAL DR STE 310, LAWRENCEVILLE, GA 30046(678) 376-5858(678) 376-5500 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas Lifetime Health Llc NPPES

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

THOMAS LIFETIME HEALTH LLC (NPI 1265137822) is a healthcare organization registered as a family medicine in Lawrenceville, Georgia and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Stephen James Parker Thomas, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1265137822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHOMAS LIFETIME HEALTH LLC
Location Address575 PROFESSIONAL DR STE 310Lawrenceville, GA 30046-3300
Mailing Address575 Professional Dr Ste 310Lawrenceville, GA 30046-3300 · (678) 376-5858 · Fax (678) 376-5500
Fax(678) 376-5500
Organization SubpartNo
Authorized OfficialStephen James Parker ThomasPhysician/owner · (404) 783-4503
Enumeration DateApril 3, 2023
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1265137822 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.
575 PROFESSIONAL DR STE 310, Lawrenceville, GA 30046

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)

Thomas Lifetime Health Llc 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 Thomas Lifetime Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1679528129
2701 N DECATUR RD
Decatur, GA 30033
(404) 501-5215
✔ PECOS✔ Accepts Medicare20 mi

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 11D2291552

Thomas Lifetime Health · Lawrenceville, GA
Active · expires Oct 11, 2027
CLIA Number11D2291552
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorStephen J. Thomas
Laboratory Phone(678) 376-5858
Laboratory LocationThomas Lifetime Health575 Professional Drive, Suite 310, Lawrenceville, GA 30046
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 Thomas Lifetime Health LLC's NPI number?

The NPI number for Thomas Lifetime Health LLC is 1265137822. It was assigned to this organization in the NPPES registry on April 3, 2023.

Where is Thomas Lifetime Health LLC located?

Thomas Lifetime Health LLC is located at 575 Professional Dr Ste 310, Lawrenceville, GA 30046. The listed phone number is (678) 376-5858.

What is Thomas Lifetime Health LLC's specialty?

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

Is Thomas Lifetime Health LLC enrolled in Medicare?

Yes. Thomas Lifetime Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas Lifetime Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Thomas Lifetime Health LLC. 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 Thomas Lifetime Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2291552) is associated with this NPI, valid through October 11, 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 Thomas Lifetime Health LLC was last updated on September 26, 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.