LIFESPAN PHYSICIAN GROUP, INC.
NPI 1548506793
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since December 17, 2012
593 EDDY STREET, PROVIDENCE, RI 02903(401) 444-7442 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Jan 21, 2026, Sep 18, 2024 and 1 more (4 updates tracked since 2021).

About Lifespan Physician Group, Inc. NPPES

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

LIFESPAN PHYSICIAN GROUP, INC. (NPI 1548506793), doing business as Brown Health Medical Group, is a healthcare organization registered as a psychiatry in Providence, Rhode Island and active in the NPI registry since December 2012. The organization maintains 9 additional practice locations and lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1548506793
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.
Location Address593 EDDY STREETProvidence, RI 02903
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Organization SubpartYesParent: Lifespan Corporation
Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914
Enumeration DateDecember 17, 2012
Last NPPES UpdateJune 8, 20264 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1548506793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
593 EDDY STREET, Providence, RI 02903

Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 9

Location 11454 S County TrlEast Greenwich, RI 02818-1749 · Phone (401) 606-4415
Location 2164 Summit AveProvidence, RI 02906-2853 · Phone (401) 793-2500
Location 3167 Point StProvidence, RI 02903-4771 · Phone (401) 793-8808
Location 4200 Corliss StProvidence, RI 02904-2602 · Phone (401) 606-8530
Location 51 Hoppin StProvidence, RI 02903-4141 · Phone (401) 444-8945 · Fax (401) 444-8742
Location 61011 Veterans Memorial PkwyRiverside, RI 02915-5061 · Phone (401) 432-1000
Location 7146 W River StProvidence, RI 02904-2609 · Phone (401) 444-7442 · Fax (401) 444-7109
Location 81567 S County TrlEast Greenwich, RI 02818-1695 · Phone (401) 606-3137
Location 919 Friendship StNewport, RI 02840-2272 · Phone (401) 845-4340 · Fax (401) 845-4349

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)

Lifespan Physician Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

314

Medicare enrollment records show 314 clinicians reassign Medicare billing to Lifespan Physician Group, Inc., which bills Medicare for the services they deliver. Of these, 65 practice at this address and 255 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Psychiatry126
Clinical Psychologist118
Clinical Social Worker23
Nurse Practitioner23
Mental Health Counselor9
Certified Clinical Nurse Specialist (CNS)6
Addiction Medicine4
Marriage and Family Therapist2
3 other specialties3

Nearest to this location (20)

See all 314
Psychiatry
NPI 1891851648
593 EDDY STREET POTTER SUITE 005
Providence, RI 02903
(401) 444-3996
✔ PECOSSame address
Nurse Practitioner
NPI 1306887856
593 EDDY ST
Providence, RI 02903
(401) 444-3985
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1376103200
593 EDDY STREET POTTER 1
Providence, RI 02903
(401) 444-2315
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1063944007
593 EDDY STREET POTTER 2
Providence, RI 02903
(401) 444-2128
✔ PECOSSame address
Mental Health Counselor
NPI 1790163970
593 EDDY ST
Providence, RI 02903
(401) 444-4126
✔ PECOSSame address
Psychiatry
NPI 1386092765
593 EDDY ST
Providence, RI 02903
(401) 432-1119
✔ PECOSSame address
Clinical Psychologist
NPI 1063498996
593 EDDY ST POB 430
Providence, RI 02903
(401) 444-4500
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1043872682
593 EDDY ST
Providence, RI 02903
(401) 444-2315
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1992688899
593 EDDY ST
Providence, RI 02903
(401) 444-2128
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1891134235
593 EDDY ST
Providence, RI 02903
(401) 444-3418
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1629649611
593 EDDY STREET POTTER 1
Providence, RI 02903
(401) 444-2128
✔ PECOSSame address
Clinical Psychologist
NPI 1952925331
593 EDDY STREET POTTER 3
Providence, RI 02903
(401) 444-3534
✔ PECOSSame address
Nurse Practitioner
NPI 1588205496
593 EDDY ST
Providence, RI 02903
(401) 444-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1063541233
593 EDDY STREET APC 4
Providence, RI 02903
(401) 444-8393
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1952924813
593 EDDY ST
Providence, RI 02903
(401) 606-5688
✔ PECOSSame address
Clinical Social Worker
NPI 1093741563
593 EDDY STREET POTTER 1
Providence, RI 02903
(401) 444-2315
✔ PECOSSame address
Addiction Medicine
NPI 1629427265
593 EDDY ST APC 970
Providence, RI 02903
(401) 444-3418
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1699095687
593 EDDY ST
Providence, RI 02903
(401) 444-3762
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1306822176
593 EDDY ST MAIN BLDG., ROOM 038
Providence, RI 02903
(401) 444-4779
✔ PECOSSame address
Neurology
NPI 1649254251
593 EDDY ST POTTER 3
Providence, RI 02903
(401) 444-3534
✔ PECOS✔ Accepts MedicareSame address
See all 314 clinicians

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 Lifespan Physician Group, Inc.'s NPI number?

The NPI number for Lifespan Physician Group, Inc. is 1548506793. It was assigned to this organization in the NPPES registry on December 17, 2012. The provider is doing business as Brown Health Medical Group.

Where is Lifespan Physician Group, Inc. located?

Lifespan Physician Group, Inc. is located at 593 Eddy Street, Providence, RI 02903. The listed phone number is (401) 444-7442.

What is Lifespan Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lifespan Physician Group, Inc. enrolled in Medicare?

Yes. Lifespan Physician Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifespan Physician Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 314 clinicians in 11 Medicare specialties reassign their Medicare billing to Lifespan Physician Group, 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. The largest specialties are Psychiatry (126), Clinical Psychologist (118) and Clinical Social Worker (23). Of these, 65 practice at this address and 255 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifespan Physician Group, Inc. was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.