LIFEGUIDE HEALTH SERVICES
NPI 1508078973
Clinic/Center - Primary Care in Lilburn, GA

NPI Status: Active since May 05, 2007

Contact Information

656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA
ZIP 30047
Phone: (770) 557-1079

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  • Organization
  • Clinic/Center
  • Primary Care

About LIFEGUIDE HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Lifeguide Health Services, a primary care provider established in Lilburn, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1508078973 assigned on May 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Lifeguide Health Services. The authorized official of this NPI record is Latesha Johnson (Manager)

NPI
1508078973
Provider Legal Name
LIFEGUIDE, INC
Other Organization Name
LIFEGUIDE HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
656 INDIAN TRAIL LILBURN RD NW STE 208 LILBURN, GA 30047
Location Phone
(770) 557-1079
Mailing Address
519 FOREST PKWY SUITE 270 FOREST PARK, GA 30297
Mailing Phone
(404) 363-6922
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2007
Last Update Date
05-24-2022
Code Navigator

A primary care provider (PCP) like Lifeguide Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 519 Forest Pkwy Suite 270
    Forest Park, GA 30297
    (404) 363-6922

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

031-R-0050 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LATESHA JOHNSON

Authorized Official Title
MANAGER
Authorized Official Phone
(317) 820-7582

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
276046116AMEDICAID (05)GA 
838117320AMEDICAID (05)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508078973
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25080716914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 0 + 7 + 1 + 6 + 9 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1508078973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295408763LIFEGUIDE FAMILY PRACTICE LLC
Organization
Clinic/Center (Primary Care)656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA 30047
(770) 557-1079
1679336234CLINICA FAMILIAR VIDA Y SALUD
Organization
Clinic/Center (Primary Care)656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA 30047
(770) 696-9968

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508078973, enumerated in the NPI registry as an "organization" on May 05, 2007

The provider is located at 656 Indian Trail Lilburn Rd Nw Ste 208 Lilburn, Ga 30047 and the phone number is (770) 557-1079

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.