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LAKESIDE PRIMARY CARE
NPI 1720572407
Nurse Practitioner - Primary Care in Centre, AL

Active since June 18, 2018
1260 CHESNUT BYPASS, SUITE A, CENTRE, AL 35960(256) 266-1544(256) 266-1531 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2022, Dec 1, 2020, Aug 21, 2020 and 2 more (5 updates tracked since 2018).

About Lakeside Primary Care NPPES

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

LAKESIDE PRIMARY CARE (NPI 1720572407) is a healthcare organization registered as a primary care in Centre, Alabama and active in the NPI registry since June 2018. The organization lists Aimee Kilgo, President, as its authorized official.

NPPES Registry Identity

NPI1720572407
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameESSENTIAL HEALTHCARE LLC
Location Address1260 CHESNUT BYPASS, SUITE ACentre, AL 35960-2834
Mailing Address1260 Chesnut Byp Ste ACentre, AL 35960-2834 · (256) 266-1544 · Fax (256) 266-1531
Phone(256) 266-1544
Fax(256) 266-1531
Organization SubpartNo
Authorized OfficialAimee KilgoPresident · (256) 266-1544
Enumeration DateJune 18, 2018
Last NPPES UpdateDecember 9, 20225 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1720572407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1260 CHESNUT BYPASS, Centre, AL 35960
Open in Google Maps ↗

Other Names 1

Doing Business AsLakeside Primary Care

Other Identifiers 1

Medicaid224799AL

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 Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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 01D2152025

Lakeside Primary Care · Centre, AL
Expired · Jul 31, 2026
CLIA Number01D2152025
Laboratory TypePractitioner Other
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorAimee M. Kilgo
Laboratory Phone(256) 266-1544
Laboratory LocationLakeside Primary Care1260 Chesnut Bypass, Suite A, Centre, AL 35960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALLIED CARDIOVASCULAR SERVICES
Internal Medicine (Cardiovascular Disease)
1260 CHESNUT BYPASS, SUITE B
CENTRE, AL 35960
Cherokee County (256) 399-4009
MRS. VALERIE SANCHEZ LEONARD CRNP
Nurse Practitioner (Family)
1260 CHESNUT BYPASS, SUITE A
CENTRE, AL 35960
Cherokee County (256) 266-1544

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 Essential Healthcare LLC's NPI number?

The NPI number for Essential Healthcare LLC is 1720572407. It was assigned to this organization in the NPPES registry on June 18, 2018. The provider is doing business as Lakeside Primary Care.

Where is Essential Healthcare LLC located?

Essential Healthcare LLC is located at 1260 Chesnut Bypass Suite A, Centre, AL 35960. The listed phone number is (256) 266-1544.

What is Essential Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Essential Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Essential Healthcare 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 Essential Healthcare LLC was last updated on December 9, 2022. 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.