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NPI · 1477657823 · NPPES-sourced

Lakeside Clinic LLC

ActiveFamily Medicine
NPI Number
1477657823
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(256) 582-5131
Primary practice line
Last Updated
Enumerated
Primary practice addressAL · 35976
2337 Homer Clayton DriveGuntersville, AL 35976
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About this NPIWhat this record shows.

NPI 1477657823 is registered to Lakeside Clinic LLC, a healthcare organisation classified as "Family Medicine" and located at 2337 Homer Clayton Drive in Guntersville, Alabama. The organisation's authorised official is Carolyn Mason. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 23185· Issued by REED-JOHNSON AL LIC NUMB
  • 051550006· Issued by BOGGESS PROVIDER NUMBER
  • 051509352· Issued by REED-JOHNSON PROVIDER NUM
  • 051518706· Issued by FOLEY PROVIDER NUMBER
  • 22839· Issued by NIXON AL LIC NUMBER
  • 9801· Issued by BOGGESS AL LIC NUMBER
  • 051502549· Issued by NIXON PROVIDER NUMBER
  • 10014· Issued by LARSON AL LIC NUMBER
  • 051550004· Issued by LARSON PROVIDER NUMBER
  • 25574· Issued by FOLEY AL LIC NUMBER

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lakeside Clinic LLC accepts. To confirm in-network status with your specific health plan, contact Lakeside Clinic LLC directly at (256) 582-5131.

Frequently asked

Yes. NPI 1477657823 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (256) 582-5131.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lakeside Clinic LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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