LAKESIDE INTEGRATED GROUP, LLC
NPI 1336516947
Chiropractor in Gainesville, GA

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

The NPI number for Lakeside Integrated Group, LLC is 1336516947. It was assigned to this organization in the NPPES registry on August 31, 2015.

Q: What is Lakeside Integrated Group, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 31, 2015

1864 THOMPSON BRIDGE ROAD, GAINESVILLE, GA 30501(770) 538-0330(770) 535-0643 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeside Integrated Group, Llc NPPES

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

LAKESIDE INTEGRATED GROUP, LLC (NPI 1336516947) is a healthcare organization registered as a chiropractor in Gainesville, Georgia and active in the NPI registry since August 2015. The organization lists William Terry Crews, President, as its authorized official.

NPPES Registry Identity

NPI1336516947

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLAKESIDE INTEGRATED GROUP, LLC

Location Address1864 THOMPSON BRIDGE ROADGainesville, GA 30501

Mailing Address1864 Thompson Bridge RdGainesville, GA 30501-1119 · (770) 538-0330 · Fax (770) 535-0643

Phone(770) 538-0330

Fax(770) 535-0643

Organization SubpartNo

Authorized OfficialWilliam Terry CrewsPresident · (770) 538-0330

Enumeration DateAugust 31, 2015

✔ NPI 1336516947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · 5133

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1864 THOMPSON BRIDGE ROAD, Gainesville, GA 30501

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Other Identifiers 1

Medicare UPIN35ZCCSPGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Integrated Group, LLC's NPI number?

The NPI number for Lakeside Integrated Group, LLC is 1336516947. It was assigned to this organization in the NPPES registry on August 31, 2015.

Where is Lakeside Integrated Group, LLC located?

Lakeside Integrated Group, LLC is located at 1864 Thompson Bridge Road, Gainesville, GA 30501. The listed phone number is (770) 538-0330.

What is Lakeside Integrated Group, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Integrated Group, LLC was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.