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LIFE BRIDGES, INC
NPI 1700928876
Family Medicine in Cleveland, TN

Active since February 13, 2007
764 OLD CHATTANOOGA PK., CLEVELAND, TN 37311(423) 472-5268(423) 479-1492 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Life Bridges, Inc NPPES

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

LIFE BRIDGES, INC (NPI 1700928876) is a healthcare organization registered as a family medicine in Cleveland, Tennessee and active in the NPI registry since February 2007. The organization lists Diana Jackson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1700928876
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFE BRIDGES, INC
Location Address764 OLD CHATTANOOGA PK.Cleveland, TN 37311
Mailing AddressPo Box 29Cleveland, TN 37364-0029 · (423) 472-5268 · Fax (423) 479-1492
Phone(423) 472-5268
Fax(423) 479-1492
Organization SubpartNo
Authorized OfficialDiana JacksonChief Executive Officer · (423) 472-5268
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1700928876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC0000000617 (TN)
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 20193 (TN)
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT2755 (TN)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1509 (TN)
764 OLD CHATTANOOGA PK., Cleveland, TN 37311
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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)

Life Bridges, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Life Bridges, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Lisa Copeland, MS CCC-SLP
Qualified Speech Language Pathologist
NPI 1124234984
764 OLD CHATTANOOGA PIKE SW
Cleveland, TN 37311
(423) 472-5268
✔ Accepts MedicareSame address
Troy Gilson, MD
Psychiatry
NPI 1275621252
940 S OCOEE ST
Cleveland, TN 37311
(423) 479-5454
✔ PECOS✔ Accepts Medicare2.0 mi
Cecil Knight, M.D., ATC
General Practice
NPI 1508909599
2003 PARKER STREET MCKENZIE ATHLETIC FACILITY LEE UNIVERSITY BOX 3450
Cleveland, TN 37320
(423) 614-8437
✔ PECOS3.2 mi
David Cobb, OT
Occupational Therapist in Private Practice
NPI 1780843862
505 WILLOW CREEK CV NE
Cleveland, TN 37323
(423) 505-8613
6.5 mi
Roni Rawls, PT, DPT, OCS
Physical Therapist in Private Practice
NPI 1962670851
8301B DAYTON PIKE
Soddy Daisy, TN 37379
(423) 843-1014
✔ Accepts Medicare20 mi
Joe Mazzolini, MD
Family Practice
NPI 1811908718
1508 TOMBRAS AVE
Chattanooga, TN 37412
(423) 867-4969
✔ PECOS✔ Accepts Medicare21 mi
Jennifer Hanson, FNP-C
Nurse Practitioner
NPI 1942770078
100 LAKE TRAVERSE DR
Sisseton, SD 57262
(605) 698-7606
✔ PECOS✔ Accepts Medicare965 mi

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 Life Bridges, Inc's NPI number?

The NPI number for Life Bridges, Inc is 1700928876. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Life Bridges, Inc located?

Life Bridges, Inc is located at 764 Old Chattanooga Pk., Cleveland, TN 37311. The listed phone number is (423) 472-5268.

What is Life Bridges, Inc's specialty?

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

Is Life Bridges, Inc enrolled in Medicare?

Yes. Life Bridges, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Bridges, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Life Bridges, Inc, in Family Practice, General Practice, Nurse Practitioner, Occupational Therapist in Private Practice, Physical Therapist in Private Practice and 2 other specialties. 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Bridges, Inc accept?

Health plans from Cigna Healthcare list Life Bridges, 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 Life Bridges, Inc was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.