Lifeguide, Inc
NPI 1508078973 · Primary Care Clinic/Center · Lilburn, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifeguide, Inc is a Primary Care Clinic/Center organization in Lilburn, GA (NPI 1508078973).
Provider details
- NPI number
- 1508078973
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latesha Johnson, Manager(317) 820-7582
- License
- 031-R-0050 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Lifeguide Family Practice LLC
- Doing business as
- Lifeguide Health Services
- Doing business as
- Lifeguide Health Services
Additional practice locations (1)
- 519 Forest PkwySuite 270Forest Park, GA 30297-6142Phone: (404) 363-6922Fax: (404) 363-6925
Registry dates
- Enumerated
- 2007-05-05
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Frequently asked questions
- What is Lifeguide, Inc's NPI number?
- Lifeguide, Inc's National Provider Identifier (NPI) is 1508078973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifeguide, Inc?
- Lifeguide, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifeguide, Inc located?
- Lifeguide, Inc's practice location on file with NPPES is 656 Indian Trail Lilburn Rd Nw Ste 208, Lilburn, GA 30047-6872.
- What is Lifeguide, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifeguide, Inc is (770) 557-1079.
- Does Lifeguide, Inc accept Medicare?
- Lifeguide, Inc 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 Lifeguide, Inc?
- The authorized official listed on Lifeguide, Inc's NPPES record is Latesha Johnson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifeguide, Inc's NPI active?
- Yes — Lifeguide, Inc's NPI (1508078973) is active in the NPPES registry as of the last update on 2022-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.