Family Clinic At The Lake PLLC
About this NPIWhat this record shows.
NPI 1578125647 is registered to Family Clinic At The Lake PLLC, a healthcare organisation classified as "Rural Health Clinic/Center" and located at 11268 Highway 57 in Counce, Tennessee. The organisation's authorised official is Ellanikole Jackson. The organisation has been enumerated in the NPI registry since 2019.
Your brand here.
Medicare enrollment
This provider holds 2 Medicare enrollments 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 A Provider
- O20191120001514Rural Health ClinicTN
Part B Supplier
- O20190917001247Clinic/Group PracticeTN
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 Family Clinic At The Lake PLLC accepts. To confirm in-network status with your specific health plan, contact Family Clinic At The Lake PLLC directly at (731) 689-4357.
Frequently asked
Yes. NPI 1578125647 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Rural Health Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
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 (731) 689-4357.
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. Family Clinic At The Lake PLLC is a Type-2 organisational NPI.