LAKE CITY FAMILY MEDICINE LLC
NPI 1396969002
Clinic/Center - Primary Care in Lake City, SC
About Lake City Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CITY FAMILY MEDICINE LLC (NPI 1396969002) is a healthcare organization registered as a primary care in Lake City, South Carolina and active in the NPI registry since April 2007. The organization lists Morris Edward Brown, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake City Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake City Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Lake City Family Medicine LLC's NPI number?
The NPI number for Lake City Family Medicine LLC is 1396969002. It was assigned to this organization in the NPPES registry on April 12, 2007.
Where is Lake City Family Medicine LLC located?
Lake City Family Medicine LLC is located at 901 N. Matthews Rd., Lake City, SC 29560. The listed phone number is (843) 374-8380.
What is Lake City Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lake City Family Medicine LLC enrolled in Medicare?
Yes. Lake City Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake City Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lake City Family Medicine LLC, in Family Practice and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake City Family Medicine LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Lake City Family Medicine LLC 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 Lake City Family Medicine LLC was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 City Family Medicine Llc · NPI 1396969002
Primary Care organization in Lake City, South Carolina. Organization record, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1396969002 (Entity type: Organization)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Morris Brown, OWNER
## Practice location
- **Address:** 901 N. MATTHEWS RD., Lake City, SC 29560
- **Phone:** (843) 374-8380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2009
- **Other identifiers:** Medicare NSC 5926660001 (SC); Medicaid GP4692 (SC); Medicare OSCAR/certification 428988 (SC); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1396969002) · Data from the CMS NPPES public registry.