Lifetime Family Medicine,llc
NPI 1053509216 · Family Medicine Physician · Dallas, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifetime Family Medicine,llc is a Family Medicine Physician organization in Dallas, GA (NPI 1053509216).
Provider details
- NPI number
- 1053509216
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Miles, Practice Manager(770) 459-8449
- License
- 052082 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lifetime Family Medicine LLC
- Doing business as
- Lifetime Family Medicine LLC
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Frequently asked questions
- What is Lifetime Family Medicine,llc's NPI number?
- Lifetime Family Medicine,llc's National Provider Identifier (NPI) is 1053509216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Family Medicine,llc?
- Lifetime Family Medicine,llc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifetime Family Medicine,llc located?
- Lifetime Family Medicine,llc's practice location on file with NPPES is 7869 Villa Rica Hwy, Dallas, GA 30157-8638.
- What is Lifetime Family Medicine,llc's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Family Medicine,llc is (770) 459-8449.
- Does Lifetime Family Medicine,llc accept Medicare?
- Lifetime Family Medicine,llc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifetime Family Medicine,llc?
- The authorized official listed on Lifetime Family Medicine,llc's NPPES record is Lisa Miles, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Family Medicine,llc's NPI active?
- Yes — Lifetime Family Medicine,llc's NPI (1053509216) is active in the NPPES registry as of the last update on 2023-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.