DR. JASON GREER LAKE M.D., M.P.H.
NPI 1609195189
Pediatrics - Pediatric Infectious Diseases in Charleston, SC

Q: What is Jason Lake's NPI number?

The NPI number for Jason Lake is 1609195189. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Q: What is Jason Lake's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Q: When was this NPI record last updated?

The NPPES record for Jason Lake was last updated on June 25, 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.

Active since May 24, 2010PECOS EnrolledAccepts Medicare Assignment

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Nov 17, 2021, Apr 9, 2020 (3 updates tracked since 2020).

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About Dr. Jason Greer Lake M.d., M.p.h. NPPES

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

DR. JASON GREER LAKE M.D., M.P.H. (NPI 1609195189) is an individual pediatric infectious diseases provider in Charleston, South Carolina, licensed in Utah (11680333-1205) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2010).

NPPES Registry Identity

NPI1609195189

Entity TypeIndividualMale

Primary Taxonomy2080P0208X

Provider Legal NameDR. JASON GREER LAKECredential: M.D., M.P.H.

Location Address171 ASHLEY AVECharleston, SC 29425-1002

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2010

Enumeration DateMay 24, 2010

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1609195189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in UT · 11680333-1205

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

171 ASHLEY AVE, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Greer Lake M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668894684

PECOS Enrollment IDI20240718000923

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.

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Other Providers at the Same Location NPPES 20

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

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