LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
NPI 1235547431
Physician Assistant - Medical in Eatonton, GA
About Lake Oconee Urgent And Specialty Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE OCONEE URGENT AND SPECIALTY CARE CENTER (NPI 1235547431) is a healthcare organization registered as a medical in Eatonton, Georgia and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Eddie Richardson, Physician/practice Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2021852
Lake Oconee Urgent & Specialty Care Center · Eatonton, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EATONTON, GA 31024
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 Lake Oconee Urgent And Specialty Care Center's NPI number?
The NPI number for Lake Oconee Urgent And Specialty Care Center is 1235547431. It was assigned to this organization in the NPPES registry on July 31, 2014.
Where is Lake Oconee Urgent And Specialty Care Center located?
Lake Oconee Urgent And Specialty Care Center is located at 105 Harmony Xing Suite 3, Eatonton, GA 31024. The listed phone number is (706) 484-0884.
What is Lake Oconee Urgent And Specialty Care Center's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Does Lake Oconee Urgent And Specialty Care Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2021852) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lake Oconee Urgent And Specialty Care Center was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lake Oconee Urgent And Specialty Care Center · NPI 1235547431
Medical organization in Eatonton, Georgia. Organization record, active in the CMS NPPES registry since July 31, 2014.
## Identity
- **NPI:** 1235547431 (Entity type: Organization)
- **Enumerated:** July 31, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Organization subpart:** No
- **Authorized official:** Eddie Richardson, PHYSICIAN/PRACTICE OWNER
## Practice location
- **Address:** 105 HARMONY XING, SUITE 3, Eatonton, GA 31024-9522
- **Phone:** (706) 484-0884
## Record status
- **NPPES last updated:** July 31, 2014
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1235547431) · Data from the CMS NPPES public registry.