| Lifeline Primary Care Norcross | |
|
3330 Peachtree Corners Cir Norcross GA 30092-3695 | |
| (678) 580-0950 | |
| (678) 580-0991 |
| Full Name | Lifeline Primary Care Norcross |
|---|---|
| Speciality | Clinic/Center |
| Location | 3330 Peachtree Corners Cir, Norcross, Georgia |
| Authorized Official Name and Position | Safia Pirani (OWNER/PROVIDER) |
| Authorized Official Contact | 6785800991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Primary Care Norcross 3330 Peachtree Corners Cir Norcross GA 30092-3695 Ph: (678) 580-0950 | Lifeline Primary Care Norcross 3330 Peachtree Corners Cir Norcross GA 30092-3695 Ph: (678) 580-0950 |
| NPI Number | 1245658285 |
|---|---|
| Provider Enumeration Date | 04/06/2014 |
| Last Update Date | 04/06/2014 |
| Medicare PECOS PAC ID | 6002138617 |
|---|---|
| Medicare Enrollment ID | O20141210002206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245658285 | NPI | - | NPPES |
| 111838 | Other | GA | MEDICARE NUMBER |
| 267992339B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 056624 (Georgia) | Primary |
| Provider Name | Safia Pirani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871589572 PECOS PAC ID: 6406877307 Enrollment ID: I20051207000517 |
| Provider Name | Gayathri Krishna Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790795441 PECOS PAC ID: 4688712730 Enrollment ID: I20170905002150 |
| Provider Name | Dinesh R Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568443273 PECOS PAC ID: 1850294364 Enrollment ID: I20200320001511 |
| Provider Name | Hafiza Dhamani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528653623 PECOS PAC ID: 4284025313 Enrollment ID: I20211229000674 |
| Provider Name | Savannah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841961307 PECOS PAC ID: 4284025214 Enrollment ID: I20211229001145 |
Lifeline Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3330 Peachtree Corners Cir Ste H, Norcross, GA 30092 Phone: 678-580-0950 Fax: 678-580-0991 | |
Pruitthealth Physicians Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1626 Jeurgens Ct, Norcross, GA 30093 Phone: 770-279-6200 Fax: 770-925-4619 | |
Angelcare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5180 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 770-446-1555 Fax: 678-646-1969 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Beaver Ruin Road, Suite 175, Norcross, GA 30071 Phone: 770-441-0444 Fax: 770-449-7962 | |
Johns Creek Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Peachtree Industrial Blvd, Suite 360, Norcross, GA 30071 Phone: 770-441-2300 Fax: 866-910-5954 | |
Care Innovations, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Holcomb Bridge Rd Ste 226, Norcross, GA 30092 Phone: 770-451-7996 Fax: 770-451-7995 | |
Medico Familiar Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5345 Jimmy Carter Blvd, Suite I, Norcross, GA 30093 Phone: 770-409-7338 Fax: 770-409-7339 |