Lifeline Primary Care, Inc
NPI 1104292630 · Family Medicine Physician · Duluth, GA
Lifeline Primary Care, Inc is a Family Medicine Physician organization in Duluth, GA (NPI 1104292630).
Provider details
- NPI number
- 1104292630
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lifeline Primary Care, Inc
- Organization subpart
- Yes
- Authorized official
- Brina Rolison, Business Development(678) 775-9344
- License
- 056624 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- Lifeline Primary Care
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Frequently asked questions
- What is Lifeline Primary Care, Inc's NPI number?
- Lifeline Primary Care, Inc's National Provider Identifier (NPI) is 1104292630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifeline Primary Care, Inc?
- Lifeline Primary Care, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifeline Primary Care, Inc located?
- Lifeline Primary Care, Inc's practice location on file with NPPES is 4855 River Green Pkwy, Duluth, GA 30096-8336.
- What is Lifeline Primary Care, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifeline Primary Care, Inc is (678) 775-9344.
- Who is the authorized official for Lifeline Primary Care, Inc?
- The authorized official listed on Lifeline Primary Care, Inc's NPPES record is Brina Rolison, Business Development. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifeline Primary Care, Inc's NPI active?
- Yes — Lifeline Primary Care, Inc's NPI (1104292630) is active in the NPPES registry as of the last update on 2024-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.