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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Lifeline Primary Care, Inc

Family Medicine Physician in Duluth, GA · enumerated 2015 · authorized official Brina Rolison, Business Development.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104292630

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Registry record

Entity type Organization (Type 2)
Legal business name Lifeline Primary Care, Inc
Other name <Unavail>
Parent organization Lifeline Primary Care, Inc
Practice address 4855 River Green Pkwy, Building 7, Suite 700, Duluth, GA, 30096
Enumeration date Aug 19, 2015
Last updated in NPPES Aug 8, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 056624 (GA) Primary

Authorized official

Name Brina Rolison
Title Business Development

Other identifiers

Identifier Type State Issuer
267992339B Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lifeline Primary Care, Inc?
The NPI for Lifeline Primary Care, Inc is 1104292630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lifeline Primary Care, Inc?
NPPES lists Brina Rolison (Business Development) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-08.