LIFEGATE HEALTH & WELLNESS
NPI 1508481862
Nurse Practitioner - Primary Care in Kennesaw, GA

Active since June 12, 2020
3784 HARRIS BLVD NW, KENNESAW, GA 30144(954) 770-7059 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifegate Health & Wellness NPPES

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

LIFEGATE HEALTH & WELLNESS (NPI 1508481862) is a healthcare organization registered as a primary care in Kennesaw, Georgia and active in the NPI registry since June 2020. The organization lists Emmanuelle Chassagne, Owner, as its authorized official.

NPPES Registry Identity

NPI1508481862
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIFEGATE HEALTH & WELLNESS
Location Address3784 HARRIS BLVD NWKennesaw, GA 30144-6098
Mailing Address3784 Harris Blvd NwKennesaw, GA 30144-6098 · (954) 770-7059
Organization SubpartYes
Authorized OfficialEmmanuelle ChassagneOwner · (954) 770-7059
Enumeration DateJune 12, 2020
NPPES CertifiedJune 12, 2020
NPI 1508481862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
3784 HARRIS BLVD NW, Kennesaw, GA 30144

Other Providers at the Same Location NPPES

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

Health Maintenance Organization
3784 HARRIS BLVD NW
KENNESAW, GA 30144

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 Lifegate Health & Wellness's NPI number?

The NPI number for Lifegate Health & Wellness is 1508481862. It was assigned to this organization in the NPPES registry on June 12, 2020.

Where is Lifegate Health & Wellness located?

Lifegate Health & Wellness is located at 3784 Harris Blvd NW, Kennesaw, GA 30144. The listed phone number is (954) 770-7059.

What is Lifegate Health & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Lifegate Health & Wellness was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.