Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifesource Prime Inc

Organization Family Medicine Physician · NPI 1841155181

Lifesource Prime Inc is a Family Medicine Physician in Rome, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1841155181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Hoffman — Credentialing · (910) 777-9165
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing addressPo Box 740343, Atlanta, GA 30374-0343

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