1. Home
  2. Directory
  3. Alabama
  4. Haleyville
  5. Family Medicine
  6. NPI Profile

LAKELAND FAMILY PRACTICE
NPI 1679913784
Family Medicine in Haleyville, AL

Active since July 03, 2013CLIA 01D2160805 · Waiver
42030 HIGHWAY 195, SUITE D, HALEYVILLE, AL 35565(205) 485-7243 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeland Family Practice NPPES

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

LAKELAND FAMILY PRACTICE (NPI 1679913784) is a healthcare organization registered as a family medicine in Haleyville, Alabama and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Angie Mangum, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1679913784
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKELAND PHYSICIAN PRACTICES LLC
Location Address42030 HIGHWAY 195, SUITE DHaleyville, AL 35565-7054
Mailing AddressPo Box 1085Haleyville, AL 35565-1085 · (205) 485-7243 · Fax (205) 485-7244
Phone(205) 485-7243
Organization SubpartNo
Authorized OfficialAngie MangumSenior Director · (615) 565-1898
Enumeration DateJuly 3, 2013
✔ NPI 1679913784 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.
42030 HIGHWAY 195, Haleyville, AL 35565
Open in Google Maps ↗

Other Names 1

Doing Business AsLakeland Family Practice

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

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 01D2160805

Lakeland Family Pratice · Haleyville, AL
Active · expires Jan 17, 2027
CLIA Number01D2160805
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorLarry Johnston
Laboratory Phone(205) 485-7146
Laboratory LocationLakeland Family Pratice42030 Hwy 195, Haleyville, AL 35565
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

REBEKAH SEALES
Nurse Practitioner (Family)
42030 HIGHWAY 195
HALEYVILLE, AL 35565
Winston County (205) 485-7288
LAKELAND COMMUNITY HOSPITAL LLC
Internal Medicine
42030 HIGHWAY 195, SUITE D
HALEYVILLE, AL 35565
Winston County (615) 372-8500
H.S. LEE M.D. PA
Specialist
42030 HIGHWAY 195, SUITE B
HALEYVILLE, AL 35565
Winston County (205) 485-7284
LAKELAND PHYSICIAN PRACTICES LLC
Surgery
42030 HIGHWAY 195
HALEYVILLE, AL 35565
Winston County (615) 372-8500
DR. DIANA W. WARREN DO
Emergency Medicine
42030 HIGHWAY 195, SUITE C
HALEYVILLE, AL 35565
Winston County (205) 485-7337
JANET HOLLEY, CRNP PC
Nurse Practitioner (Family)
42030 HIGHWAY 195, SUITE D
HALEYVILLE, AL 35565
Winston County (205) 486-2743
DR. ALLAN CHRISTOPHER WALLS MD
Surgery
42030 HIGHWAY 195
HALEYVILLE, AL 35565
Winston County (999) 999-9999
ORTHOSPORTS ATHENS, LLC
Orthopaedic Surgery
42030 HIGHWAY 195, SUITE A
HALEYVILLE, AL 35565
Winston County (205) 485-7248

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 Lakeland Physician Practices LLC's NPI number?

The NPI number for Lakeland Physician Practices LLC is 1679913784. It was assigned to this organization in the NPPES registry on July 3, 2013. The provider is doing business as Lakeland Family Practice.

Where is Lakeland Physician Practices LLC located?

Lakeland Physician Practices LLC is located at 42030 Highway 195 Suite D, Haleyville, AL 35565. The listed phone number is (205) 485-7243.

What is Lakeland Physician Practices LLC's specialty?

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

Does Lakeland Physician Practices LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2160805) is associated with this NPI, valid through January 17, 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 Lakeland Physician Practices LLC was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.