LAKE CITY FAMILY MEDICINE LLC
NPI 1396969002
Clinic/Center - Primary Care in Lake City, SC
NPI Status: Active since April 12, 2007
Contact Information
901 N. MATTHEWS RD.
LAKE CITY, SC
ZIP 29560
Phone: (843) 374-8380
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
- CLIA Number: 42D0888716
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 12-18-2026
About LAKE CITY FAMILY MEDICINE LLC
This page provides the complete NPI Profile along with additional information for Lake City Family Medicine Llc, a primary care provider established in Lake City, South Carolina operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1396969002 assigned on April 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Morris Edward Brown Iii Md (Owner)
- NPI
- 1396969002
- Provider Name
- LAKE CITY FAMILY MEDICINE LLC
- Entity Type
- Organization
- Location Address
- 901 N. MATTHEWS RD. LAKE CITY, SC 29560
- Location Phone
- (843) 374-8380
- Mailing Address
- 901 N. MATTHEWS RD. LAKE CITY, SC 29560
- Mailing Phone
- (843) 374-8380
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2007
- Last Update Date
- 03-16-2009
- Code Navigator
A primary care provider (PCP) like Lake City Family Medicine Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License State
- SC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | 17100 (SC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Blue Cooper Bronze 1 - HMO
- Blue Cooper Bronze 2 - HMO
- Blue Cooper Gold 1 - HMO
- Blue Cooper Silver 1 - HMO
- Blue Cooper Silver 2 - HMO
- Blue Cooper Silver 2 + Adult Vision - HMO
- Blue Cooper Standard Expanded Bronze - HMO
- Blue Cooper Standard Gold - HMO
- Blue Cooper Standard Silver - HMO
- Blue Direction Bronze 1 - POS
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5926660001 | MEDICARE NSC (07) | SC | |
| GP4692 | MEDICAID (05) | SC | |
| 428988 | MEDICARE OSCAR/CERTIFICATION (06) | SC | |
| RHC175 | OTHER (01) | SC | RURAL HEALTH CLINIC |
| 8771 | MEDICARE PIN (08) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0888716
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- December 19, 2024
- Certificate Expiration Date
- December 18, 2026
- Laboratory Director
- MORRIS E. BROWN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lake City Family Medicine Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396969002, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396969002, enumerated as an "organization" on April 12, 2007.
The provider is located at 901 N. MATTHEWS RD. LAKE CITY, SC 29560 and the phone number is (843) 374-8380.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
