LIFESOURCE PRIME INC – NPI #1548124159
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LIFESOURCE PRIME INC is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1548124159 to LIFESOURCE PRIME INC on December 10, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESOURCE PRIME INC below.

NPI Profile for
LIFESOURCE PRIME INC

NPI Number
1548124159
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESOURCE PRIME INC
Primary location
1901 LIBBIE AVE
RICHMOND, VA 23226-1808
Phone: (910) 742-9243 Fax: (888) 746-1787
Mailing address
PO BOX 740343
ATLANTA, GA 30374-0343
Phone: (910) 338-2877 Fax: (877) 335-9071
Organization Subpart
No
Authorized Official
ERYN ROBBINS
VICE PRESIDENT OF OPERATIONS
Phone: (910) 622-2319
Updated
Certification Date
Dec 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.