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LIFELINE PRIMARY CARE, INC
NPI 1639426984
Clinic/Center - Primary Care in Lilburn, GA

Active since August 06, 2012CLIA Certified · 4 labs
4025 LAWRENCEVILLE HWY NW STE A, LILBURN, GA 30047(770) 559-3501(770) 696-9078 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifeline Primary Care, Inc NPPES

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

LIFELINE PRIMARY CARE, INC (NPI 1639426984) is a healthcare organization registered as a primary care in Lilburn, Georgia and active in the NPI registry since August 2012. The organization holds 4 active CLIA laboratory certificates and lists Aziz A Pirani, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1639426984
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFELINE PRIMARY CARE, INC
Location Address4025 LAWRENCEVILLE HWY NW STE ALilburn, GA 30047-2876
Mailing Address4025 Lawrenceville Hwy Nw Ste ALilburn, GA 30047-2876 · (770) 559-3501 · Fax (770) 696-9078
Phone(770) 559-3501
Fax(770) 696-9078
Organization SubpartNo
Authorized OfficialAziz A PiraniOwner / Physician · (770) 559-3501
Enumeration DateAugust 6, 2012
Last NPPES UpdateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1639426984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 61934
4025 LAWRENCEVILLE HWY NW STE A, Lilburn, GA 30047
Open in Google Maps ↗

Other Identifiers 1

Other1790922096GA · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 Compliance 11D2269037

Lifeline Primary Care, Inc · Lilburn, GA
Active · expires Feb 23, 2027
CLIA Number11D2269037
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorTulsiram Prathapam
Laboratory Phone(504) 270-1930
Laboratory LocationLifeline Primary Care, Inc4025 Lawrenceville Highway NW Suite A, Lilburn, GA 30047
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 11D2099923

Lifeline Primary Care (lilburn) · Stone Mountain, GA
Active · expires Dec 25, 2026
CLIA Number11D2099923
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorMichael Koch
Laboratory Phone(770) 559-3501
Laboratory LocationLifeline Primary Care (lilburn)1940 Parker Court Suite A, Stone Mountain, GA 30087
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D2269040

Lifeline Primary Care, Inc · Peachtree Corners, GA
Active · expires Sep 19, 2026
CLIA Number11D2269040
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorSafia Pirani
Laboratory Phone(770) 559-3501
Laboratory LocationLifeline Primary Care, Inc3330 Peachtree Corners Circle Suite H, Peachtree Corners, GA 30092
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2262640

Lifeline Primary Care/ Avacare · Lilburn, GA
Active · expires Jun 15, 2028
CLIA Number11D2262640
Laboratory TypeClinical Research Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorAziz A. Pirani
Laboratory Phone(770) 771-6150
Laboratory LocationLifeline Primary Care/ Avacare3997 Lawrenceville Highway NW Suite 1 & Suite 4, Lilburn, GA 30047
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SHITAL PATEL REGISTERED NURSE
Registered Nurse
4025 LAWRENCEVILLE HWY NW STE A
LILBURN, GA 30047
Gwinnett County (770) 559-3501

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 Lifeline Primary Care, Inc's NPI number?

The NPI number for Lifeline Primary Care, Inc is 1639426984. It was assigned to this organization in the NPPES registry on August 6, 2012.

Where is Lifeline Primary Care, Inc located?

Lifeline Primary Care, Inc is located at 4025 Lawrenceville Hwy NW Ste A, Lilburn, GA 30047. The listed phone number is (770) 559-3501.

What is Lifeline Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lifeline Primary Care, Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lifeline Primary Care, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 10 other insurers list Lifeline Primary Care, Inc 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 Primary Care, Inc was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.