1. Home
  2. Directory
  3. North Carolina
  4. Grimesland
  5. Nurse Practitioner
  6. NPI Profile

LIFE PRIMARY CARE CLINIC, PLLC
NPI 1902352123
Nurse Practitioner - Primary Care in Grimesland, NC

Active since August 28, 2016
550 RIVER STREET, GRIMESLAND, NC 27837(252) 758-0602(252) 329-9002 Get Directions Write a Review

NPPES record last updated: October 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Primary Care Clinic, Pllc NPPES

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

LIFE PRIMARY CARE CLINIC, PLLC (NPI 1902352123) is a healthcare organization registered as a primary care in Grimesland, North Carolina and active in the NPI registry since August 2016. The organization lists Vanessa H Cox, Clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1902352123
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIFE PRIMARY CARE CLINIC, PLLC
Location Address550 RIVER STREETGrimesland, NC 27837
Mailing AddressPo Box 87Grimesland, NC 27837-0087 · (252) 758-0602 · Fax (252) 329-9002
Phone(252) 758-0602
Fax(252) 329-9002
Organization SubpartNo
Authorized OfficialVanessa H CoxClinical Manager · (252) 916-3645
Enumeration DateAugust 28, 2016
Last NPPES UpdateOctober 8, 2016
✔ NPI 1902352123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 5005487
550 RIVER STREET, Grimesland, NC 27837
Open in Google Maps ↗

Other Identifiers 1

Medicaid7006027NC

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

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 Primary Care Clinic, PLLC's NPI number?

The NPI number for Life Primary Care Clinic, PLLC is 1902352123. It was assigned to this organization in the NPPES registry on August 28, 2016.

Where is Life Primary Care Clinic, PLLC located?

Life Primary Care Clinic, PLLC is located at 550 River Street, Grimesland, NC 27837. The listed phone number is (252) 758-0602.

What is Life Primary Care Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Life Primary Care Clinic, PLLC was last updated on October 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.