PHYSICAL LIFE LLC
NPI 1386524437
Nurse Practitioner - Family in Mcdonough, GA

Q: What is Physical Life LLC's NPI number?

The NPI number for Physical Life LLC is 1386524437. It was assigned to this organization in the NPPES registry on September 8, 2025.

Q: What is Physical Life LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Physical Life LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 08, 2025

850 HAMPTON RD, MCDONOUGH, GA 30253(678) 272-0464 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Physical Life Llc NPPES

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

PHYSICAL LIFE LLC (NPI 1386524437) is a healthcare organization registered as a family in Mcdonough, Georgia and active in the NPI registry since September 2025. The organization lists Trevino Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1386524437

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePHYSICAL LIFE LLC

Location Address850 HAMPTON RDMcdonough, GA 30253-6514

Mailing Address191 Barclay DrMcdonough, GA 30252-8035 · (678) 272-0464 · Fax (678) 272-0862

Phone(678) 272-0464

Organization SubpartNo

Authorized OfficialTrevino SimmonsOwner · (770) 380-9756

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1386524437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

850 HAMPTON RD, Mcdonough, GA 30253

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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

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 Physical Life LLC's NPI number?

The NPI number for Physical Life LLC is 1386524437. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Physical Life LLC located?

Physical Life LLC is located at 850 Hampton Rd, Mcdonough, GA 30253. The listed phone number is (678) 272-0464.

What is Physical Life LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Physical Life LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.