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LIFEBOAT MEDICAL ASSOCIATES 2, LLC
NPI 1346756129
Obstetrics & Gynecology - Gynecology in Peachtree City, GA

Active since December 15, 2017CLIA 11D0955611 · Waiver
1201 GEORGIAN PARK, PEACHTREE CITY, GA 30269(770) 631-4873(770) 631-0684 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifeboat Medical Associates 2, Llc NPPES

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

LIFEBOAT MEDICAL ASSOCIATES 2, LLC (NPI 1346756129) is a healthcare organization registered as a gynecology in Peachtree City, Georgia and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Shelley Depp, Payer Relations Liaison, as its authorized official.

NPPES Registry Identity

NPI1346756129
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLIFEBOAT MEDICAL ASSOCIATES 2, LLC
Location Address1201 GEORGIAN PARKPeachtree City, GA 30269-6972
Mailing AddressPo Box 468329Atlanta, GA 31146-8329 · (404) 943-0205 · Fax (404) 943-0209
Phone(770) 631-4873
Fax(770) 631-0684
Organization SubpartNo
Authorized OfficialShelley DeppPayer Relations Liaison · (770) 579-2626
Enumeration DateDecember 15, 2017
✔ NPI 1346756129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1201 GEORGIAN PARK, Peachtree City, GA 30269
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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 11D0955611

Lifeboat Medical Associates · Peachtree City, GA
Active · expires Feb 3, 2028
CLIA Number11D0955611
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorSara A. O'heron
Laboratory Phone(770) 631-4873
Laboratory LocationLifeboat Medical Associates1201 Georgian Park, Peachtree City, GA 30269
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 3

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

SARA ALLISON O'HERON MD
Family Medicine
1201 GEORGIAN PARK
PEACHTREE CITY, GA 30269
Fayette County (770) 631-4873
LIFEBOAT MEDICAL ASSOCIATES
Specialist
1201 GEORGIAN PARK
PEACHTREE CITY, GA 30269
Fayette County (770) 631-4873
LYDIA JEAN BOTTENFIELD PA
Physician Assistant (Medical)
1201 GEORGIAN PARK
PEACHTREE CITY, GA 30269
Fayette County (770) 631-4873

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 Lifeboat Medical Associates 2, LLC's NPI number?

The NPI number for Lifeboat Medical Associates 2, LLC is 1346756129. It was assigned to this organization in the NPPES registry on December 15, 2017.

Where is Lifeboat Medical Associates 2, LLC located?

Lifeboat Medical Associates 2, LLC is located at 1201 Georgian Park, Peachtree City, GA 30269. The listed phone number is (770) 631-4873.

What is Lifeboat Medical Associates 2, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Lifeboat Medical Associates 2, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0955611) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifeboat Medical Associates 2, LLC was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.