LAKESIDE IMAGING
NPI 1679294227
Clinic/Center - Radiology in Milledgeville, GA

Active since September 12, 2022CLIA 11D2038013 · Waiver
1850 N COLUMBIA ST STE 3, MILLEDGEVILLE, GA 31061(478) 453-4101 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2023, Dec 27, 2022, Nov 19, 2022 and 1 more (4 updates tracked since 2022).

About Lakeside Imaging NPPES

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

LAKESIDE IMAGING (NPI 1679294227) is a healthcare organization registered as a radiology in Milledgeville, Georgia and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Gary Harper Dent, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679294227
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameBCA GEORGIA, LLC
Location Address1850 N COLUMBIA ST STE 3Milledgeville, GA 31061-7113
Mailing AddressPo Box 1067Statesboro, GA 30459-1067 · (912) 764-2455 · Fax (912) 764-7522
Organization SubpartNo
Authorized OfficialGary Harper DentCeo · (912) 764-2455
Enumeration DateSeptember 12, 2022
Last NPPES UpdateFebruary 10, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
NPI 1679294227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
1850 N COLUMBIA ST STE 3, Milledgeville, GA 31061

Other Names 1

Doing Business AsLakeside Imaging

Accepted 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 11D2038013

Lakeside Imaging · Milledgeville, GA
Active · expires Mar 11, 2028
CLIA Number11D2038013
Laboratory TypeOutpatient Imaging Fac
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorKim S. Thomas
Laboratory Phone(478) 453-4101
Laboratory LocationLakeside Imaging1850 North Columbia Street, Suite 3, Milledgeville, GA 31061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
4,950 services25 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,200 services29 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
67 services61 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
46 services44 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
37 services37 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
27 services27 patients

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 Bca Georgia, LLC's NPI number?

The NPI number for Bca Georgia, LLC is 1679294227. It was assigned to this organization in the NPPES registry on September 12, 2022. The provider is doing business as Lakeside Imaging.

Where is Bca Georgia, LLC located?

Bca Georgia, LLC is located at 1850 N Columbia St Ste 3, Milledgeville, GA 31061. The listed phone number is (478) 453-4101.

What is Bca Georgia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Bca Georgia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2038013) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bca Georgia, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bca Georgia, 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 Bca Georgia, LLC was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.