CREATIVE LIFE CENTER, LLC – Geriatric Psychiatry Physician, NPI 1780227140

CREATIVE LIFE CENTER, LLC is a healthcare provider. based in Loganville, Georgia. specializing in Geriatric Psychiatry Physician. The NPI Number for CREATIVE LIFE CENTER, LLC is 1780227140

Main info

Organization
Name
CREATIVE LIFE CENTER, LLC
NPI
1780227140
Phone
(678) 344-8268
Address
500 PLANTATION PARK DR
Authorized Official
MUHAMMAD S AHMED CEO MD
Enumeration Date
17 October 2019
Last Update Date
18 May 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for CREATIVE LIFE CENTER, LLC

  • 500 PLANTATION PARK DR

    LOGANVILLE, GA 300524144

    Phone: (678) 344-8268

    Fax: (888) 627-6444

    Type: Mailing

  • Main Street, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 300783073

    Phone: (678) 733-2656

    Fax: (888) 627-6444

    Type: Location

  • 1637 ATHENS HWY

    GRAYSON, GA 300171768

    Phone: (678) 344-8268

    Fax: (888) 627-6444

    Type: Mailing

  • 1637 ATHENS HWY STE B

    GRAYSON, GA 300171768

    Phone: (678) 344-8269

    Fax: (888) 627-6444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30052)

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Reviews

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Frequently asked questions

Does CREATIVE LIFE CENTER, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CREATIVE LIFE CENTER, LLC uses 1780227140.
Is CREATIVE LIFE CENTER, LLC still practicing?
CREATIVE LIFE CENTER, LLC is currently listed as active in the public NPI registry.
What taxonomy line describes CREATIVE LIFE CENTER, LLC?
For research purposes, treat CREATIVE LIFE CENTER, LLC as Geriatric Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is CREATIVE LIFE CENTER, LLC based?
CREATIVE LIFE CENTER, LLC is tied to Loganville, Georgia in the data we show; additional addresses may exist on the full record.
Why does CREATIVE LIFE CENTER, LLC have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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