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LAKELANDS FAMILY PRACTICE
NPI 1770616013
Family Medicine in Waterloo, SC

Active since March 14, 2007CLIA 42D2241290 · Certificate of Compliance
17124 HIGHWAY 72 W, WATERLOO, SC 29384(864) 819-4900(864) 819-3429 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Lakelands Family Practice NPPES

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

LAKELANDS FAMILY PRACTICE (NPI 1770616013) is a healthcare organization registered as a family medicine in Waterloo, South Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2026 and lists Lisa Y Gilmer, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1770616013
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROLINA HEALTH CENTERS, INC.
Location Address17124 HIGHWAY 72 WWaterloo, SC 29384-5144
Mailing Address17124 Highway 72 WWaterloo, SC 29384-5144 · (864) 819-4900 · Fax (864) 819-3429
Phone(864) 819-4900
Fax(864) 819-3429
Organization SubpartNo
Authorized OfficialLisa Y GilmerPractice Administrator · (864) 941-8121
Enumeration DateMarch 14, 2007
Last NPPES UpdateJune 21, 2010
✔ NPI 1770616013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
17124 HIGHWAY 72 W, Waterloo, SC 29384
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Other Names 1

Doing Business AsLakelands Family Practice

Other Identifiers 5

Other=========013SC · Blue Cross Group Number
Other=========016SC · Tricare Group Number
Medicare ID-Type Unspecified421894SC · Medicare Group Number
MedicaidFQC058SC
Medicare PIN3621SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 Compliance 42D2241290

Lakelands Family Practice & Pediatric Center · Waterloo, SC
Active · expires Sep 30, 2026
CLIA Number42D2241290
Laboratory TypeCommunity Health Center
Certificate Effective DateJune 27, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorLocke Simons
Laboratory Phone(864) 393-1020
Laboratory LocationLakelands Family Practice & Pediatric Center17124 Highway 72 West, Waterloo, SC 29384
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DR. CHRISTINE K GRAY MD
Pediatrics (Adolescent Medicine)
17124 HIGHWAY 72 W
WATERLOO, SC 29384
Laurens County (864) 393-1020
MRS. ELCY ZIMIK M.D.
Family Medicine
17124 HIGHWAY 72 W
WATERLOO, SC 29384
Laurens County (864) 393-1020

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 Carolina Health Centers, Inc.'s NPI number?

The NPI number for Carolina Health Centers, Inc. is 1770616013. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Lakelands Family Practice.

Where is Carolina Health Centers, Inc. located?

Carolina Health Centers, Inc. is located at 17124 Highway 72 W, Waterloo, SC 29384. The listed phone number is (864) 819-4900.

What is Carolina Health Centers, Inc.'s specialty?

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

Does Carolina Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D2241290) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Health Centers, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Carolina Health Centers, Inc. 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 Carolina Health Centers, Inc. was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.