LAKESIDE FAMILY MEDICINE


Address: 104 Carrington Park Dr Ste B, Gainesville, GA 30504-6603
Phone: 7708993773

LAKESIDE FAMILY MEDICINE (NPI# 1720514029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720514029
Entity Type Organization
Organization Name LAKESIDE FAMILY MEDICINE
Practice Address 104 Carrington Park Dr Ste B
Gainesville
GA 30504-6603
Practice Telephone 7708993773
Mailing Telephone 7708993773
Enumeration Date 2017-05-04
Last Update Date 2017-05-04
Authorized Official Name FOROOGH NARMANI-MOHAMMADI (FAMILY NURSE PRACTITIONER)
Authorized Official Telephone 7708993773
Authorized Official Credential DNP, FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
F0514016 GA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790188639 Lakeside Family Medicine Family Medicine 714 Hwy 70 E, Kingston, OK 73439 2014-10-07
1295064178 Lakeside Family Medicine Family Medicine 21 N. Main Street, Kingston, OK 73439-1798 2009-12-23

Office Location

Street Address 104 CARRINGTON PARK DR STE B
City GAINESVILLE
State GA
Zip Code 30504-6603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447659347 Foroogh Narmani-mohammadi Nurse Practitioner 104 Carrington Park Dr Ste B, Gainesville, GA 30504-6603 2014-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174124572 Jessica Rodriguez New Pharmacist 2892 Browns Bridge Road, Gainesville, GA 30504 2020-11-03
1710541461 Lauren Brooke Taylor Occupational Therapist 2900 Mcever Road, Gainesville, GA 30504 2019-04-29
1801023700 Brenda Levartha Hamilton Registered Nurse 3905 Mabry Rd., Gainesville, GA 30504 2009-06-18
1083757645 Charles Kent Yarbrough Optometrist 400 Shallowford Road, Vision Center, Gainesville, GA 30504 2007-02-14
1881746170 Lisa S. Ralston Occupational Therapist 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 2007-01-17
1326140690 David Richards Adamson Physical Therapist 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 2006-09-05
1326057621 Henry Joseph Lewis IIi Legal Medicine 5606 Captains Ct, Gainesville, GA 30504 2006-08-05
1992164032 Hall County Endoscopy Center LLC Clinic/Center 1955 Textile Way, Gainesville, GA 30504 2016-02-17
1982902276 James Minton Pharmacist 3640 Mundy Mill Road, Gainesville, GA 30504 2011-03-10
1881758969 Donna Marie Colavecchio Occupational Therapy Assistant 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 2006-12-21
Find all providers in zip 30504

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649811928 Careatc Clinic/Center 1314 W Ridge Rd, Gainesville, GA 30501-6932 2019-10-08
1982143079 Celebrate Primary Care Clinic/Center 4400 Nw 23rd Ave Ste B, Gainesville, FL 32606-6562 2017-02-22
1588054415 Dr. Stephen Ellis Landay Clinic/Center 7109 Nw 11th Pl Ste E, Gainesville, FL 32605-3141 2015-01-30
1053747188 Pediatrics & Family Medicine of Buena Vista, LLC Clinic/Center 10552 Nw 13th Ave, Gainesville, FL 32606-8088 2013-09-20
1558606335 Primary Care of Gainesville LLC Clinic/Center 1026 Sw 2nd Ave Ste C, Gainesville, FL 32601-8182 2012-12-04
1780709998 Innocent Odocha Md Pa Clinic/Center 816 Nw 13th St, Gainesville, FL 32601-2903 2007-03-20
1164443255 Shamal D Nadkarni Md Pa Clinic/Center 1026 Sw 2nd Ave, Suite D, Gainesville, FL 32601-6134 2006-07-22
1538794326 Psk Management LLC Clinic/Center 1364 Nw 121st Way, Gainesville, FL 32606-5274 2020-03-12
1124478078 Prosalud Medical Center Clinic/Center 1870 Atlanta Rd, Ste J, Gainesville, GA 30504-5948 2016-06-21
1124441241 Jones Family Medical, Pllc Clinic/Center 413 E Broadway St, Gainesville, TX 76240-4169 2014-01-24
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 30504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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