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LAKESIDE HEALTH CLINIC, P.C.
NPI 1336492495
Clinic/Center - Rural Health in Paris, TN

Active since October 25, 2012CLIA 44D2049321 · Waiver
813 E WOOD ST, PARIS, TN 38242(731) 924-2000(731) 653-0053 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Oct 22, 2018, Feb 17, 2016 and 1 more (4 updates tracked since 2016).

About Lakeside Health Clinic, P.c. NPPES

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

LAKESIDE HEALTH CLINIC, P.C. (NPI 1336492495) is a healthcare organization registered as a rural health in Paris, Tennessee and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Lisa Hatch Hubbard, Owner/pa-c, as its authorized official.

NPPES Registry Identity

NPI1336492495
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKESIDE HEALTH CLINIC, P.C.
Location Address813 E WOOD STParis, TN 38242-4223
Mailing AddressPo Box 1269Paris, TN 38242-1269 · (731) 924-2000 · Fax (731) 653-0053
Phone(731) 924-2000
Fax(731) 653-0053
Organization SubpartNo
Authorized OfficialLisa Hatch HubbardOwner/pa-c · (731) 924-2000
Enumeration DateOctober 25, 2012
Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1336492495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
813 E WOOD ST, Paris, TN 38242
Open in Google Maps ↗

Other Identifiers 1

Medicaid1530820TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2049321

Lakeside Health Clinic PC · Paris, TN
Active · expires Nov 1, 2026
CLIA Number44D2049321
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorLisa Hubbard
Laboratory Phone(731) 924-2000
Laboratory LocationLakeside Health Clinic PC803 E Wood Street, Paris, TN 38242
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MR. JOHN MICHAEL MUNSON PA
Physician Assistant
813 E WOOD ST
PARIS, TN 38242
Henry County (731) 924-2000
LISA DIANNE HATCH HUBBARD P.A.
Physician Assistant (Medical)
813 E WOOD ST
PARIS, TN 38242
Henry County (731) 924-2000

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 Health Clinic, P.C.'s NPI number?

The NPI number for Lakeside Health Clinic, P.C. is 1336492495. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Lakeside Health Clinic, P.C. located?

Lakeside Health Clinic, P.C. is located at 813 E Wood St, Paris, TN 38242. The listed phone number is (731) 924-2000.

What is Lakeside Health Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lakeside Health Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2049321) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Health Clinic, P.C. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Lakeside Health Clinic, P.C. 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 Health Clinic, P.C. was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.