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LAKESIDE NEUROLOGY, PC
NPI 1386172229
Psychiatry & Neurology - Neurology in Cumming, GA

Active since May 23, 2017
1100 NORTHSIDE FORSYTH DR STE 440, CUMMING, GA 30041(678) 772-4422 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2023, May 7, 2018, May 23, 2017 (3 updates tracked since 2017).

About Lakeside Neurology, Pc NPPES

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

LAKESIDE NEUROLOGY, PC (NPI 1386172229) is a healthcare organization registered as a neurology in Cumming, Georgia and active in the NPI registry since May 2017. The organization lists Frank Puhalovich, President, as its authorized official.

NPPES Registry Identity

NPI1386172229
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLAKESIDE NEUROLOGY, PC
Location Address1100 NORTHSIDE FORSYTH DR STE 440Cumming, GA 30041-6015
Mailing Address1100 Northside Forsyth Dr Ste 440Cumming, GA 30041-6015
Phone(678) 772-4422
Organization SubpartNo
Authorized OfficialFrank PuhalovichPresident · (678) 772-4422
Enumeration DateMay 23, 2017
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1386172229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1100 NORTHSIDE FORSYTH DR STE 440, Cumming, GA 30041
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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

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 Neurology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeside Neurology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Peter Futrell, M.D.
Neuropsychiatry
NPI 1912990391
1100 NORTHSIDE FORSYTH DR STE 440
Cumming, GA 30041
(770) 203-4881
✔ PECOSSame address
Frank Puhalovich, M.D.
Neurology
NPI 1548253941
1100 NORTHSIDE FORSYTH DR STE 440
Cumming, GA 30041
(770) 203-4881
✔ 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 Neurology, PC's NPI number?

The NPI number for Lakeside Neurology, PC is 1386172229. It was assigned to this organization in the NPPES registry on May 23, 2017.

Where is Lakeside Neurology, PC located?

Lakeside Neurology, PC is located at 1100 Northside Forsyth Dr Ste 440, Cumming, GA 30041. The listed phone number is (678) 772-4422.

What is Lakeside Neurology, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lakeside Neurology, PC enrolled in Medicare?

Yes. Lakeside Neurology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Neurology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeside Neurology, PC, in Neurology and Neuropsychiatry. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeside Neurology, PC was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.