Life Point Medical, LLC
Clinic/Center, Medical Specialty in Clayton, GA. Organization (NPI-2).
NPI number1154870533
StatusActive
Last updated in NPPESSep 3, 2025
Details
- NPI
- 1154870533
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Point Medical, LLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2016
- Certification date
- Sep 3, 2025
- Last updated
- Sep 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 54546 | GA | Yes |
Practice location
189 Bo James StreetSuite 105
Clayton, GA 30525
Phone 706-782-0016 · Fax 706-782-0180
Mailing address
189 Bo James StreetSuite 105
Clayton, GA 30525
Phone 706-782-0016 · Fax 706-782-0180
Authorized official
Timothy Scott Beck
Owner
7067820016
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