LAKESIDE PRIMARY CARE
NPI 1720572407
Nurse Practitioner - Primary Care in Centre, AL
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lakeside Primary Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Centre, AL 35960
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Essential Healthcare LLC enrolled in Medicare?
Yes. Essential Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Essential Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Essential Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Clinical Social Worker (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Essential Healthcare LLC accept?
Health plans from Ambetter 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.
# Lakeside Primary Care · NPI 1720572407
Primary Care organization in Centre, Alabama. Organization record, active in the CMS NPPES registry since June 18, 2018.
## Identity
- **NPI:** 1720572407 (Entity type: Organization)
- **Enumerated:** June 18, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Essential Healthcare Llc
- **Organization subpart:** No
- **Authorized official:** Aimee Kilgo, PRESIDENT
## Practice location
- **Address:** 1260 CHESNUT BYPASS, SUITE A, Centre, AL 35960-2834
- **Phone:** (256) 266-1544 · **Fax:** (256) 266-1531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2022
- **Other identifiers:** Medicaid 224799 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1720572407) · Data from the CMS NPPES public registry.