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LAKE MEDICAL CENTER
NPI 1366521395
Clinic/Center - Rural Health in Greensboro, GA

Active since November 02, 2006
1201 SILOAM RD, GREENSBORO, GA 30642(706) 453-7331(706) 453-2812 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Medical Center NPPES

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

LAKE MEDICAL CENTER (NPI 1366521395) is a healthcare organization registered as a rural health in Greensboro, Georgia and active in the NPI registry since November 2006. The organization lists Tina Vidal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366521395
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE MEDICAL CENTER
Location Address1201 SILOAM RDGreensboro, GA 30642-2811
Mailing Address1201 Siloam RdGreensboro, GA 30642-2811 · (706) 453-7331 · Fax (706) 453-2812
Phone(706) 453-7331
Fax(706) 453-2812
Organization SubpartNo
Authorized OfficialTina VidalCeo · (706) 453-7331
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366521395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in GA · PENDING
1201 SILOAM RD, Greensboro, GA 30642
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Other Providers at the Same Location NPPES 11

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

DR. ROBERT A DAVIS MD
Radiology (Diagnostic Radiology)
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-7331
DAVIS RADIOLOGY, PLC
Radiology (Diagnostic Radiology)
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 454-0036
RELIANCE RADIOLOGY, P.C.
Radiology (Diagnostic Radiology)
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-7331
WOMAN'S OBGYN CENTER, INC.
Clinic/Center
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-7331
MS. JULIE ANN SNYDER PTA
Physical Therapy Assistant
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-5088
ADRIANNE COPELAN PTA
Physical Therapy Assistant
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-5088
MRS. CINDY RENA DAVIS P.T.
Physical Therapist
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-5088
DR. JENNIFER ELIZABETH HOCTOR PT, DPT
Physical Therapist
1201 SILOAM RD
GREENSBORO, GA 30642
Greene County (706) 453-5088

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 Medical Center's NPI number?

The NPI number for Lake Medical Center is 1366521395. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Lake Medical Center located?

Lake Medical Center is located at 1201 Siloam Rd, Greensboro, GA 30642. The listed phone number is (706) 453-7331.

What is Lake Medical Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.