DOROTHY NICOLE LAKE CPNP
NPI 1528438538
Nurse Practitioner - Pediatrics in Carrollton, GA

Q: What is Dorothy Lake's NPI number?

The NPI number for Dorothy Lake is 1528438538. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Q: What is Dorothy Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Dorothy Lake was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since October 02, 2015PECOS Enrolled

706 DIXIE ST STE 200, CARROLLTON, GA 30117(770) 812-8640(770) 838-8650 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dorothy Nicole Lake Cpnp NPPES

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

DOROTHY NICOLE LAKE CPNP (NPI 1528438538) is an individual pediatrics provider in Carrollton, Georgia, licensed in Georgia (APRN-NP213402) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528438538

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDOROTHY NICOLE LAKECredential: CPNP

Location Address706 DIXIE ST STE 200Carrollton, GA 30117-3889

Mailing Address706 Dixie St Ste 220Carrollton, GA 30117-3889 · (770) 812-8825

Phone(770) 812-8640

Fax(770) 838-8650

Sole ProprietorNo

Enumeration DateOctober 2, 2015

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1528438538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · APRN-NP213402

706 DIXIE ST STE 200, Carrollton, GA 30117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Nicole Lake Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. MEGHAN LOVE MD

Obstetrics & Gynecology