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LIFE CARE FAMILY PRACTICE
NPI 1386921310
Family Medicine in Douglasville, GA

Active since November 04, 2011CLIA 11D0888322 · Waiver
8464 ADAIR ST, DOUGLASVILLE, GA 30134(770) 949-9804(770) 949-9842 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Care Family Practice NPPES

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

LIFE CARE FAMILY PRACTICE (NPI 1386921310) is a healthcare organization registered as a family medicine in Douglasville, Georgia and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through June 29, 2028 and lists Michael Moody, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1386921310
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFE CARE FAMILY PRACTICE
Location Address8464 ADAIR STDouglasville, GA 30134-1839
Mailing Address8464 Adair StDouglasville, GA 30134-1839 · (770) 949-9804 · Fax (770) 949-9842
Phone(770) 949-9804
Fax(770) 949-9842
Organization SubpartNo
Authorized OfficialMichael MoodyDoctor/owner · (770) 949-9804
Enumeration DateNovember 4, 2011
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1386921310 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.
8464 ADAIR ST, Douglasville, GA 30134
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Life Care Family Practice 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 Life Care Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Moody, MD
Family Practice
NPI 1952466583
8464 ADAIR SREET
Douglasville, GA 30134
(770) 949-9804
✔ 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 11D0888322

Life Care Family Practice PC · Douglasville, GA
Active · expires Jun 29, 2028
CLIA Number11D0888322
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorMichael S. Moody MD
Laboratory Phone(770) 949-9804
Laboratory LocationLife Care Family Practice PC8464 Adair Street, Douglasville, GA 30134
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 Life Care Family Practice's NPI number?

The NPI number for Life Care Family Practice is 1386921310. It was assigned to this organization in the NPPES registry on November 4, 2011.

Where is Life Care Family Practice located?

Life Care Family Practice is located at 8464 Adair St, Douglasville, GA 30134. The listed phone number is (770) 949-9804.

What is Life Care Family Practice's specialty?

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

Is Life Care Family Practice enrolled in Medicare?

Yes. Life Care Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Care Family Practice?

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

Yes. A Certificate of Waiver (number 11D0888322) is associated with this NPI, valid through June 29, 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 Life Care Family Practice was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.