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LIFESOURCE PRIME INC
NPI 1548124159
Family Medicine in Richmond, VA

Active since December 10, 2025
1901 LIBBIE AVE, RICHMOND, VA 23226(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1548124159
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFESOURCE PRIME INC
Location Address1901 LIBBIE AVERichmond, VA 23226-1808
Mailing AddressPo Box 740343Atlanta, GA 30374-0343 · (910) 338-2877 · Fax (877) 335-9071
Phone(910) 742-9243
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialEryn M RobbinsVice President Of Operations · (910) 622-2319
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1548124159 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.

1901 LIBBIE AVE, Richmond, VA 23226
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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

Other Providers at the Same Location NPPES 7

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

CARMEN WONG MD
Physical Medicine & Rehabilitation
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (808) 281-3500
GLENBURNIE OPERATOR LLC
Skilled Nursing Facility
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (804) 281-3500
LIFESOURCE OF NORTH CAROLINA
Social Worker (Clinical)
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (910) 742-9243
MRS. AMY B MITCHELL LCSW
Social Worker (Clinical)
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (910) 742-9243
MRS. AMANDA KRASNOFF DUNKLEY CCC-SLP
Speech-Language Pathologist
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (804) 281-3500
CHARTISHA WINSTON
Nurse's Aide
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (804) 281-3500
MACKENZIE LAKE COLLETON DPT
Physical Therapist
1901 LIBBIE AVE
RICHMOND, VA 23226
Richmond City (804) 281-3501

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.

When was this NPI record last updated?

The NPPES record for Lifesource Prime Inc was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.