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LAKESIDE CLINIC LLC
NPI 1477657823
Family Medicine in Guntersville, AL

Active since September 07, 2006CLIA 01D0303723 · Waiver
2337 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976(256) 582-5131(256) 582-1100 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Mar 7, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Lakeside Clinic Llc NPPES

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

LAKESIDE CLINIC LLC (NPI 1477657823) is a healthcare organization registered as a family medicine in Guntersville, Alabama and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Carolyn H Mason, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477657823
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE CLINIC LLC
Location Address2337 HOMER CLAYTON DRIVEGuntersville, AL 35976
Mailing Address2337 Homer Clayton DriveGuntersville, AL 35976 · (256) 582-5131 · Fax (256) 582-1100
Phone(256) 582-5131
Fax(256) 582-1100
Organization SubpartNo
Authorized OfficialCarolyn H MasonAdministrator · (256) 582-5131
Enumeration DateSeptember 7, 2006
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1477657823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2337 HOMER CLAYTON DRIVE, Guntersville, AL 35976
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Other Identifiers 10

Other23185Reed-johnson Al Lic Numb
Other051550006Boggess Provider Number
Other051509352Reed-johnson Provider Num
Other051518706Foley Provider Number
Other22839Nixon Al Lic Number
Other9801Boggess Al Lic Number
Other051502549Nixon Provider Number
Other10014Larson Al Lic Number
Other051550004Larson Provider Number
Other25574Foley Al Lic Number

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0303723

Lakeside Clinic LLC · Guntersville, AL
Active · expires Mar 29, 2027
CLIA Number01D0303723
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorHilda B. Craze
Laboratory Phone(256) 582-5131
Laboratory LocationLakeside Clinic LLC2337 Homer Clayton Drive, Guntersville, AL 35976
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. CHARLES A LARSON MD
Family Medicine
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131
MRS. LEZLIE TAMIA REED-JOHNSON MD
Family Medicine
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131
MR. JEFFREY M SAYLOR MD
Family Medicine
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131
MR. STUART G FOLEY MD
Internal Medicine
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131
MR. WILLIAM ALEX NIXON MD
Family Medicine
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131
MRS. MORGAN C. JACKSON M.D.
Family Medicine
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131
EMBRIL WADE EDWARDS M.D.
Student in an Organized Health Care Education/Training Program
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-5131

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 Clinic LLC's NPI number?

The NPI number for Lakeside Clinic LLC is 1477657823. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Lakeside Clinic LLC located?

Lakeside Clinic LLC is located at 2337 Homer Clayton Drive, Guntersville, AL 35976. The listed phone number is (256) 582-5131.

What is Lakeside Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lakeside Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0303723) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Clinic LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.