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LIFETIME MEDICAL CENTER, PC
NPI 1982933107
Family Medicine in Ellijay, GA

Active since December 17, 2009CLIA 11D2003621 · Waiver
14244 HIGHWAY 515 N, SUITE 100, ELLIJAY, GA 30536(706) 698-5433 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Medical Center, Pc NPPES

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

LIFETIME MEDICAL CENTER, PC (NPI 1982933107) is a healthcare organization registered as a family medicine in Ellijay, Georgia and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Lee Kent, Administrator, as its authorized official.

NPPES Registry Identity

NPI1982933107
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFETIME MEDICAL CENTER, PC
Location Address14244 HIGHWAY 515 N, SUITE 100Ellijay, GA 30536
Mailing Address14244 Highway 515 N, Suite 100Ellijay, GA 30536 · (706) 698-5433
Phone(706) 698-5433
Organization SubpartNo
Authorized OfficialLee KentAdministrator · (706) 698-5433
Enumeration DateDecember 17, 2009
Last NPPES UpdateAugust 13, 2014
✔ NPI 1982933107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 051241
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.
14244 HIGHWAY 515 N, Ellijay, GA 30536
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Other Identifiers 2

Medicare UPINH39633GA
Other202 G701 589GA · Medicare Group #

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

CLIA Laboratory Certificates CMS CLIA

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 11D2003621

Lifetime Medical Center, PC · Ellijay, GA
Active · expires Feb 14, 2028
CLIA Number11D2003621
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorLee Kent
Laboratory Phone(706) 698-5433
Laboratory LocationLifetime Medical Center, PC14244 Hwy 515 N- Suite 100, Ellijay, GA 30536
CLIA data matches this NPI record on: Address Name Phone
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.

DR. ALANA MARIA KENT MD
Family Medicine
14244 HIGHWAY 515 N, SUITE 100
ELLIJAY, GA 30536
Gilmer County (706) 698-5433

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 Lifetime Medical Center, PC's NPI number?

The NPI number for Lifetime Medical Center, PC is 1982933107. It was assigned to this organization in the NPPES registry on December 17, 2009.

Where is Lifetime Medical Center, PC located?

Lifetime Medical Center, PC is located at 14244 Highway 515 N Suite 100, Ellijay, GA 30536. The listed phone number is (706) 698-5433.

What is Lifetime Medical Center, PC's specialty?

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

Does Lifetime Medical Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2003621) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifetime Medical Center, PC was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.