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Lifeguide, Inc

Lifeguide, Inc is a healthcare organization registered as Primary Care Clinic/Center in Lilburn, GA, holding Type 2 (organization) NPI 1508078973 since 2007. The authorized official on file is Latesha Johnson, Manager.

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NPI 1508078973
Entity type Organization (Type 2)
Legal business name Lifeguide, Inc
Other name <Unavail>
Practice address 656 INDIAN TRAIL LILBURN RD NW STE 208, Lilburn, GA, 30047
Phone 7705571079
Enumeration date 2007-05-05
Last updated in NPPES 2022-05-24

Authorized official

Name Latesha Johnson
Title Manager
Phone 3178207582

Taxonomy & classification

Taxonomy code Specialty Primary License State
251E00000X Home Health Agency Secondary 031-R-0050 GA
261QP2300X Primary Care Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
276046116A Medicaid GA
838117320A Medicaid GA
Copy-ready billing details
Provider: Lifeguide, Inc
NPI: 1508078973
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 656 INDIAN TRAIL LILBURN RD NW STE 208, Lilburn, GA, 30047

Providers at this address

NPI Name Type Specialty Location
1295408763 Lifeguide Family Practice LLC Organization Primary Care Clinic/Center Lilburn, GA
1679336234 Clinica Familiar Vida Y Salud Organization Primary Care Clinic/Center Lilburn, GA

Verify this record

Cross-check NPI 1508078973 against the authoritative CMS record: view Lifeguide, Inc on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Lifeguide, Inc?
Lifeguide, Inc is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-24.