P Praxis·MD
● Active Type 2 · Organization

Lifeguide, Inc

Clinic/Center·Lilburn, GA· NPI 1508078973 · Enumerated 2007 · 19 years on NPI
Lifeguide, Inc is 1 of 655 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-05-05
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Manager
Last NPPES update
2022-05-24
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
19 years
↑ 8 yr above median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
656 Indian Trail Lilburn Rd Nw Ste 208
Lilburn, GA 300476872
📞 7705571079
Mailing address
519 Forest Pkwy, Suite 270
Forest Park, GA 302976142
📞 4043636922fax 4043636925

Additional practice locations

1 secondary location on file with NPPES.

Location 2
519 Forest Pkwy, Suite 270
Forest Park, GA 302976142
📞 4043636922fax 4043636925

Authorized official

Latesha Johnson
Manager
📞 3178207582

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X
  • Home Health
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    GA license #031-R-0050 taxonomy 251E00000X

Identifiers

TypeValueNotes
05 (GA) 276046116A
05 (GA) 838117320A

Other names on file (3)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Lifeguide Family Practice LLC
    Type code 3 recorded 2022-05-24
  • Lifeguide Health Services
    Type code 3 recorded 2022-05-24
  • Lifeguide Health Services
    Type code 3 recorded 2007-05-05

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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