LIFESTYLE NEUROLOGY PC
NPI 1497226682
Psychiatry & Neurology - Neurology in Germantown, TN
About Lifestyle Neurology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESTYLE NEUROLOGY PC (NPI 1497226682) is a healthcare organization registered as a neurology in Germantown, Tennessee and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Rance Ballard Wilbourn, Owner/ Authorised Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifestyle Neurology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifestyle Neurology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 44D2167190
Lifestyle Neurology PC · Germantown, TNFrequently 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 Lifestyle Neurology PC's NPI number?
The NPI number for Lifestyle Neurology PC is 1497226682. It was assigned to this organization in the NPPES registry on December 16, 2018.
Where is Lifestyle Neurology PC located?
Lifestyle Neurology PC is located at 2215 West St Ste 100, Germantown, TN 38138. The listed phone number is (901) 440-8482.
What is Lifestyle Neurology PC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Lifestyle Neurology PC enrolled in Medicare?
Yes. Lifestyle Neurology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifestyle Neurology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lifestyle Neurology PC, in Neurology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifestyle Neurology PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2167190) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lifestyle Neurology PC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Lifestyle Neurology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lifestyle Neurology PC was last updated on October 27, 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.
# Lifestyle Neurology Pc · NPI 1497226682
Neurology organization in Germantown, Tennessee. Organization record, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1497226682 (Entity type: Organization)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Rance Wilbourn, OWNER/ AUTHORISED OFFICIAL
## Practice location
- **Address:** 2215 WEST ST STE 100, Germantown, TN 38138-3874
- **Phone:** (901) 440-8482 · **Fax:** (901) 440-8582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Neurology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497226682) · Data from the CMS NPPES public registry.