LIFELINE MEDICAL CENTER
NPI 1629474796
Family Medicine in Clarkston, GA

Active since November 17, 2014CLIA 11D2099929 · Waiver
3660 MARKET ST, CLARKSTON, GA 30021(470) 355-7896 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Medical Center NPPES

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

LIFELINE MEDICAL CENTER (NPI 1629474796) is a healthcare organization registered as a family medicine in Clarkston, Georgia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Safia Pirani, Physician, as its authorized official.

NPPES Registry Identity

NPI1629474796
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFELINE MEDICAL CENTER, LLC
Location Address3660 MARKET STClarkston, GA 30021-1246
Mailing Address3660 Market StClarkston, GA 30021-1246 · (470) 355-7896
Organization SubpartYes
Authorized OfficialSafia PiraniPhysician · (470) 355-7896
Enumeration DateNovember 17, 2014
NPI 1629474796 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.
3660 MARKET ST, Clarkston, GA 30021

Other Names 1

Doing Business AsLifeline Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 11D2099929

Lifeline Medical Center · Clarkston, GA
Active · expires Aug 4, 2027
CLIA Number11D2099929
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorSafia Pirani
Laboratory Phone(470) 355-7896
Laboratory LocationLifeline Medical Center3660 Market Street, Clarkston, GA 30021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
3660 MARKET ST
CLARKSTON, GA 30021
Community/Behavioral Health
3660 MARKET ST
CLARKSTON, GA 30021
Nurse Practitioner (Family)
3660 MARKET ST
CLARKSTON, GA 30021
Physician Assistant
3660 MARKET ST
CLARKSTON, GA 30021
Physician Assistant
3660 MARKET ST
CLARKSTON, GA 30021
Nurse Practitioner (Family)
3660 MARKET ST
CLARKSTON, GA 30021

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 Lifeline Medical Center, LLC's NPI number?

The NPI number for Lifeline Medical Center, LLC is 1629474796. It was assigned to this organization in the NPPES registry on November 17, 2014. The provider is doing business as Lifeline Medical Center.

Where is Lifeline Medical Center, LLC located?

Lifeline Medical Center, LLC is located at 3660 Market St, Clarkston, GA 30021. The listed phone number is (470) 355-7896.

What is Lifeline Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lifeline Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2099929) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeline Medical Center, LLC accept?

Health plans from Alliant Health Plans, Inc., Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Montana and 4 other insurers list Lifeline Medical Center, LLC 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 Lifeline Medical Center, LLC was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.