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LIFEGUIDE FAMILY PRACTICE LLC
NPI 1295408763
Clinic/Center - Primary Care in Lilburn, GA

Active since July 29, 2021
656 INDIAN TRAIL LILBURN RD NW STE 208, LILBURN, GA 30047(770) 557-1079 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifeguide Family Practice Llc NPPES

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

LIFEGUIDE FAMILY PRACTICE LLC (NPI 1295408763) is a healthcare organization registered as a primary care in Lilburn, Georgia and active in the NPI registry since July 2021. The organization lists Olukayode Agbeyomi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295408763
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFEGUIDE FAMILY PRACTICE LLC
Location Address656 INDIAN TRAIL LILBURN RD NW STE 208Lilburn, GA 30047-6872
Mailing Address656 Indian Trail Lilburn Rd Nw Ste 208Lilburn, GA 30047-6872 · (770) 557-1079
Phone(770) 557-1079
Organization SubpartNo
Authorized OfficialOlukayode AgbeyomiCeo · (678) 517-7425
Enumeration DateJuly 29, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1295408763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
656 INDIAN TRAIL LILBURN RD NW STE 208, Lilburn, GA 30047
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Other Providers at the Same Location NPPES 2

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

LIFEGUIDE, INC
Clinic/Center (Primary Care)
656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA 30047
Gwinnett County (770) 557-1079
CLINICA FAMILIAR VIDA Y SALUD
Clinic/Center (Primary Care)
656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA 30047
Gwinnett County (770) 696-9968

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 Lifeguide Family Practice LLC's NPI number?

The NPI number for Lifeguide Family Practice LLC is 1295408763. It was assigned to this organization in the NPPES registry on July 29, 2021.

Where is Lifeguide Family Practice LLC located?

Lifeguide Family Practice LLC is located at 656 Indian Trail Lilburn Rd NW Ste 208, Lilburn, GA 30047. The listed phone number is (770) 557-1079.

What is Lifeguide Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lifeguide Family Practice LLC was last updated on July 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.