LAKESIDE FAMILY MEDICINE, PA
NPI 1073562864
Family Medicine in Anderson, SC

Q: What is Lakeside Family Medicine, PA's NPI number?

The NPI number for Lakeside Family Medicine, PA is 1073562864. It was assigned to this organization in the NPPES registry on May 9, 2006.

Q: What is Lakeside Family Medicine, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 09, 2006

4120 HIGHWAY 24, ANDERSON, SC 29626(864) 224-4003(864) 224-4999 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeside Family Medicine, Pa NPPES

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

LAKESIDE FAMILY MEDICINE, PA (NPI 1073562864) is a healthcare organization registered as a family medicine in Anderson, South Carolina and active in the NPI registry since May 2006. The organization lists Melody Franks, Md, as its authorized official.

NPPES Registry Identity

NPI1073562864

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKESIDE FAMILY MEDICINE, PA

Location Address4120 HIGHWAY 24Anderson, SC 29626-5321

Mailing Address4120 Highway 24Anderson, SC 29626-5321 · (864) 224-4003 · Fax (864) 224-4999

Phone(864) 224-4003

Fax(864) 224-4999

Organization SubpartNo

Authorized OfficialMelody FranksMd · (864) 224-4003

Enumeration DateMay 9, 2006

Last NPPES UpdateNovember 6, 2008

✔ NPI 1073562864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4120 HIGHWAY 24, Anderson, SC 29626

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Other Identifiers 3

MedicaidGP2512SC

Medicare PINCG9690

Medicare PIN6767

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN M MOORE MD

Family Medicine