LAKESIDE ANESTHESIA GROUP LLC
NPI 1043063068
Anesthesiology in Jacksonville, FL

Q: What is Lakeside Anesthesia Group LLC's NPI number?

The NPI number for Lakeside Anesthesia Group LLC is 1043063068. It was assigned to this organization in the NPPES registry on April 9, 2024.

Q: What is Lakeside Anesthesia Group LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since April 09, 2024

9143 PHILIPS HWY STE 515, JACKSONVILLE, FL 32256(904) 395-4840(904) 306-1351 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, Apr 9, 2024 (2 updates tracked since 2024).

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About Lakeside Anesthesia Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ANESTHESIA GROUP LLC (NPI 1043063068) is a healthcare organization registered as an anesthesiology in Jacksonville, Florida and active in the NPI registry since April 2024. The organization lists Andrew Weaver, Manager, as its authorized official.

NPPES Registry Identity

NPI1043063068

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameLAKESIDE ANESTHESIA GROUP LLC

Location Address9143 PHILIPS HWY STE 515Jacksonville, FL 32256-1335

Mailing Address3020 Hartley Rd Ste 210Jacksonville, FL 32257-8206 · (904) 395-7772

Phone(904) 395-4840

Fax(904) 306-1351

Organization SubpartNo

Authorized OfficialAndrew WeaverManager · (904) 395-7772

Enumeration DateApril 9, 2024

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1043063068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

9143 PHILIPS HWY STE 515, Jacksonville, FL 32256

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Anesthesia Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeside Anesthesia Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Rebekah Wheatley, MD

Anesthesiology

NPI 1154528743

807 CHILDRENS WAY NEMOURS CHILDRENS CLINIC, JACKSONVILLE
Jacksonville, FL 32207

(904) 697-3694

✔ PECOS9.5 mi

Steven Collins, MD

Anesthesiology

NPI 1093820078

3601 THE VANDERBILT CLINIC
Nashville, TN 37232

(615) 322-3000

✔ PECOS✔ Accepts Medicare510 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Anesthesia Group LLC's NPI number?

The NPI number for Lakeside Anesthesia Group LLC is 1043063068. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Lakeside Anesthesia Group LLC located?

Lakeside Anesthesia Group LLC is located at 9143 Philips Hwy Ste 515, Jacksonville, FL 32256. The listed phone number is (904) 395-4840.

What is Lakeside Anesthesia Group LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lakeside Anesthesia Group LLC enrolled in Medicare?

Yes. Lakeside Anesthesia Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Anesthesia Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Anesthesiology, reassign their Medicare billing to Lakeside Anesthesia Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeside Anesthesia Group LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.