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LAKE OCONEE MEDICAL ASSOCIATES LLC
NPI 1548017031
Family Medicine - Adult Medicine in Eatonton, GA

Active since May 02, 2024CLIA 11D2348699 · Waiver
114 HARMONY XING STE 1, EATONTON, GA 31024(706) 484-0884 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lake Oconee Medical Associates Llc NPPES

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

LAKE OCONEE MEDICAL ASSOCIATES LLC (NPI 1548017031) is a healthcare organization registered as an adult medicine in Eatonton, Georgia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through August 10, 2028 and lists Jameelah Gater, Owner, as its authorized official.

NPPES Registry Identity

NPI1548017031
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameLAKE OCONEE MEDICAL ASSOCIATES LLC
Location Address114 HARMONY XING STE 1Eatonton, GA 31024-9546
Mailing Address114 Harmony Xing Ste 1Eatonton, GA 31024-9546 · (706) 484-0884
Phone(706) 484-0884
Organization SubpartNo
Authorized OfficialJameelah GaterOwner · (706) 816-2607
Enumeration DateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1548017031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
114 HARMONY XING STE 1, Eatonton, GA 31024
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 11D2348699

Lake Oconee Medical Associates, LLC · Eatonton, GA
Active · expires Aug 10, 2028
CLIA Number11D2348699
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateAugust 10, 2028
Laboratory DirectorJameelah G. Gater
Laboratory Phone(706) 484-0884
Laboratory LocationLake Oconee Medical Associates, LLC114 Harmony Road, Suite 1, Eatonton, GA 31024
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

LAKE OCONEE PARTNERS IN HEALTHCARE, LLC
Family Medicine
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
MR. TIMOTHY CHARLES CASTELLAW PA-C
Physician Assistant (Medical)
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
MRS. SHEIKEEM SCOTT NP
Nurse Practitioner
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
DAWN BAYNES P.A.
Physician Assistant
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
EDDIE RICHARDSON MD
Family Medicine
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
JAMES E SOUTHERLAND MD
Family Medicine
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
ALEXA RAE ANDERSON NP-C
Nurse Practitioner
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884
DR. JAMEELAH JEAN GATER MD
Family Medicine
114 HARMONY XING STE 1
EATONTON, GA 31024
Putnam County (706) 484-0884

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 Oconee Medical Associates LLC's NPI number?

The NPI number for Lake Oconee Medical Associates LLC is 1548017031. It was assigned to this organization in the NPPES registry on May 2, 2024.

Where is Lake Oconee Medical Associates LLC located?

Lake Oconee Medical Associates LLC is located at 114 Harmony Xing Ste 1, Eatonton, GA 31024. The listed phone number is (706) 484-0884.

What is Lake Oconee Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Lake Oconee Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2348699) is associated with this NPI, valid through August 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Oconee Medical Associates LLC accept?

Health plans from Alliant Health Plans, Inc. list Lake Oconee Medical Associates 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 Oconee Medical Associates LLC was last updated on May 2, 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.