Lifeline Primary Care, Inc
NPI 1104292630ActiveOrganization· Family Medicine· Duluth, GA
Family Medicine in Duluth, Georgia, registered in NPPES in August 2015, part of Lifeline Primary Care, Inc. The authorized official on file is Brina Lynn Rolison, Business Development.
Overview
| NPI | 1104292630 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifeline Primary Care, Inc |
| NPI issued | Aug 19, 2015 |
| Last updated in NPPES | Aug 8, 2024 |
| Certified by provider | Aug 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 056624 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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