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

Active since August 06, 2012CLIA Certified · 2 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: October 25, 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 2 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
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

Other Identifiers 1

Other1790922096GA · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifeline Primary Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Lifeline Primary Care, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Family Practice
NPI 1760622096
4025 LAWRENCEVILLE HWY NW SUITE A
Lilburn, GA 30047
(770) 559-3501
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760084206
2336 WISTERIA DR STE 110
Snellville, GA 30078
(470) 481-7803
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1134733199
751 AUTUMN MEADOW DR
Loganville, GA 30052
(678) 982-6728
✔ PECOS9.5 mi
Family Practice
NPI 1043848583
4500 N SHALLOWFORD RD
Dunwoody, GA 30338
(678) 849-2936
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1609413152
1301 SIGMAN RD NE STE 230
Conyers, GA 30012
(678) 609-4912
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1912505280
3570 LEBELLA LN
Bethlehem, GA 30620
(678) 474-6077
✔ PECOS17 mi
Internal Medicine
NPI 1568443273
236 FORSYTH ST SW
Atlanta, GA 30303
(404) 521-2410
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1790795441
50 NORTH ST
Medfield, MA 02052
(508) 359-1519
✔ PECOS✔ Accepts Medicare901 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 11D2269037

Lifeline Primary Care, Inc · Lilburn, GA
Active · expires Aug 23, 2028
CLIA Number11D2269037
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2026
Certificate Expiration DateAugust 23, 2028
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 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.

Certificate of Waiver 11D2269040

Lifeline Primary Care, Inc · Peachtree Corners, GA
Expired · 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.

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.

Is Lifeline Primary Care, Inc enrolled in Medicare?

Yes. Lifeline Primary Care, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifeline Primary Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Lifeline Primary Care, 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 Nurse Practitioner (4), Family Practice (3) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifeline Primary Care, Inc hold CLIA laboratory certificates?

Yes. 2 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 8 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.