Lifesource Prime Inc
NPI 1548124159 · Family Medicine Physician · Richmond, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifesource Prime Inc is a Family Medicine Physician organization in Richmond, VA (NPI 1548124159).
Provider details
- NPI number
- 1548124159
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eryn Robbins, Vice President of Operations(910) 622-2319
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
Under 1 yr in 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
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Frequently asked questions
- What is Lifesource Prime Inc's NPI number?
- Lifesource Prime Inc's National Provider Identifier (NPI) is 1548124159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifesource Prime Inc?
- Lifesource Prime Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifesource Prime Inc located?
- Lifesource Prime Inc's practice location on file with NPPES is 1901 Libbie Ave, Richmond, VA 23226-1808.
- What is Lifesource Prime Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifesource Prime Inc is (910) 742-9243.
- Does Lifesource Prime Inc accept Medicare?
- Lifesource Prime 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 Lifesource Prime Inc?
- The authorized official listed on Lifesource Prime Inc's NPPES record is Eryn Robbins, Vice President of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifesource Prime Inc's NPI active?
- Yes — Lifesource Prime Inc's NPI (1548124159) is active in the NPPES registry as of the last update on 2025-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.