LIFESOURCE PRIME INC
NPI 1841155181
Internal Medicine in Rome, GA

Q: What is Lifesource Prime Inc's NPI number?

The NPI number for Lifesource Prime Inc is 1841155181. It was assigned to this organization in the NPPES registry on December 18, 2025.

Q: What is Lifesource Prime Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 18, 2025

1345 REDMOND CIR NW, ROME, GA 30165(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lifesource Prime Inc NPPES

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

LIFESOURCE PRIME INC (NPI 1841155181) is a healthcare organization registered as an internal medicine in Rome, Georgia and active in the NPI registry since December 2025. The organization lists Tabitha Hoffman, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1841155181

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLIFESOURCE PRIME INC

Location Address1345 REDMOND CIR NWRome, GA 30165-1307

Mailing AddressPo Box 740343Atlanta, GA 30374-0343 · (910) 742-9243 · Fax (888) 746-1787

Phone(910) 742-9243

Fax(888) 746-1787

Organization SubpartNo

Authorized OfficialTabitha HoffmanCredentialing · (910) 777-9165

Enumeration DateDecember 18, 2025

NPPES CertifiedDecember 18, 2025

✔ NPI 1841155181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1345 REDMOND CIR NW, Rome, GA 30165

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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

Other Providers at the Same Location NPPES 13

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

KAYLA LIVINGSTON LANE PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)