Organization provider

LIFELINE PRIMARY CARE, INC

Family Medicine Physician

LIFELINE PRIMARY CARE, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104292630, based in Duluth, GA. It is classified under Family Medicine Physician.

Getting there

The practice address on file is 4855 RIVER GREEN PKWY BUILDING 7, SUITE 700, Duluth, GA 30096. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4855 RIVER GREEN PKWY BUILDING 7, SUITE 700, Duluth, GA 30096 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
056624 GA Family Medicine Physician primary

This provider holds licence 056624 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Family Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104292630 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 19, 2015
Last updatedAug 8, 2024
StatusActive
Practice address 4855 RIVER GREEN PKWY
BUILDING 7, SUITE 700
Duluth, GA 30096
(678) 775-9344
Other identifiers 267992339B (GA)
This record was updated on Aug 8, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104292630 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 9 2 6 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 9 4 6 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104292630?
NPI 1104292630 is the National Provider Identifier assigned to LIFELINE PRIMARY CARE, INC in Duluth, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
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.
How do I contact LIFELINE PRIMARY CARE, INC?
The phone number on file with NPPES is (678) 775-9344, last updated Aug 8, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104292630 a valid number?
Yes. 1104292630 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.