LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
NPI 1104365279
Clinic/Center - Medical Specialty in Duluth, GA

Q: What is Lakeside Allergy Asthma And Immunology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since February 21, 2017

3500 DULUTH PARK LN STE 820, DULUTH, GA 30096(678) 226-9866(678) 373-3983 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2022, Feb 21, 2017 (2 updates tracked since 2017).

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About Lakeside Allergy Asthma And Immunology Llc NPPES

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

LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC (NPI 1104365279) is a healthcare organization registered as a medical specialty in Duluth, Georgia and active in the NPI registry since February 2017. The organization maintains a secondary practice location in Duluth and lists Li Zuo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104365279

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC

Location Address3500 DULUTH PARK LN STE 820Duluth, GA 30096-3243

Mailing AddressPo Box 2227Duluth, GA 30096-0039 · (678) 837-5224 · Fax (404) 860-1298

Phone(678) 226-9866

Fax(678) 373-3983

Organization SubpartNo

Authorized OfficialLi ZuoCeo · (513) 535-0946

Enumeration DateFebruary 21, 2017

Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration

NPPES CertifiedOctober 19, 2022

✔ NPI 1104365279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in GA · 75964

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3500 DULUTH PARK LN STE 820, Duluth, GA 30096

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Secondary Practice Location 1

Location 13790 Pleasant Hill Rd, Suite 200Duluth, GA 30096-5142 · Phone (678) 837-5224

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Allergy Asthma And Immunology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Allergy Asthma And Immunology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Li Zuo, MD

Allergy/Immunology

NPI 1023225190

3790 PLEASANT HILL RD SUITE 200
Duluth, GA 30096

(678) 837-5224

✔ PECOS0.1 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 Allergy Asthma And Immunology LLC's NPI number?

The NPI number for Lakeside Allergy Asthma And Immunology LLC is 1104365279. It was assigned to this organization in the NPPES registry on February 21, 2017.

Where is Lakeside Allergy Asthma And Immunology LLC located?

Lakeside Allergy Asthma And Immunology LLC is located at 3500 Duluth Park Ln Ste 820, Duluth, GA 30096. The listed phone number is (678) 226-9866.

What is Lakeside Allergy Asthma And Immunology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Lakeside Allergy Asthma And Immunology LLC enrolled in Medicare?

Yes. Lakeside Allergy Asthma And Immunology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Allergy Asthma And Immunology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Lakeside Allergy Asthma And Immunology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeside Allergy Asthma And Immunology LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lakeside Allergy Asthma And Immunology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Allergy Asthma And Immunology LLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.