LIFESOURCE PRIME INC
NPI 1548124159
Family Medicine in Richmond, VA
About Lifesource Prime Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESOURCE PRIME INC (NPI 1548124159) is a healthcare organization registered as a family medicine in Richmond, Virginia and active in the NPI registry since December 2025. The organization lists Eryn M Robbins, Vice President Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifesource Prime Inc 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 Lifesource Prime Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lifesource Prime Inc's NPI number?
The NPI number for Lifesource Prime Inc is 1548124159. It was assigned to this organization in the NPPES registry on December 10, 2025.
Where is Lifesource Prime Inc located?
Lifesource Prime Inc is located at 1901 Libbie Ave, Richmond, VA 23226. The listed phone number is (910) 742-9243.
What is Lifesource Prime Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lifesource Prime Inc enrolled in Medicare?
Yes. Lifesource Prime Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifesource Prime Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lifesource Prime Inc. 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.
When was this NPI record last updated?
The NPPES record for Lifesource Prime Inc was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lifesource Prime Inc · NPI 1548124159
Family Medicine organization in Richmond, Virginia. Organization record, active in the CMS NPPES registry since December 10, 2025.
## Identity
- **NPI:** 1548124159 (Entity type: Organization)
- **Enumerated:** December 10, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Eryn Robbins, VICE PRESIDENT OF OPERATIONS
## Practice location
- **Address:** 1901 LIBBIE AVE, Richmond, VA 23226-1808
- **Phone:** (910) 742-9243 · **Fax:** (888) 746-1787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548124159) · Data from the CMS NPPES public registry.