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LAKE BUTLER MEDICAL CLINIC INC
NPI 1871582296
Clinic/Center in Lake Butler, FL

Active since October 18, 2005CLIA 10D0724550 · Waiver
675 E MAIN ST, LAKE BUTLER, FL 32054(386) 496-1328(386) 496-2227 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Butler Medical Clinic Inc NPPES

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

LAKE BUTLER MEDICAL CLINIC INC (NPI 1871582296) is a healthcare organization registered as a clinic/center in Lake Butler, Florida and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Martha Regina Lloyd, Physician, as its authorized official.

NPPES Registry Identity

NPI1871582296
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKE BUTLER MEDICAL CLINIC INC
Location Address675 E MAIN STLake Butler, FL 32054-1352
Mailing AddressPo Box 188Lake Butler, FL 32054-0188 · (386) 496-1328 · Fax (386) 496-2227
Phone(386) 496-1328
Fax(386) 496-2227
Organization SubpartNo
Authorized OfficialMartha Regina LloydPhysician · (386) 496-1328
Enumeration DateOctober 18, 2005
Last NPPES UpdateJune 29, 2010
✔ NPI 1871582296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME81421
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
675 E MAIN ST, Lake Butler, FL 32054
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Other Identifiers 3

Medicare PINAK946FL
Medicare UPINH42535
Medicaid266578600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Lake Butler Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Butler Medical Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Martha Lloyd
Family Practice
NPI 1669660965
675 E MAIN ST
Lake Butler, FL 32054
(386) 496-1328
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D0724550

Lake Butler Medical Clinic · Lake Butler, FL
Active · expires May 15, 2027
CLIA Number10D0724550
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorMartha R. Lloyd
Laboratory Phone(352) 494-6028
Laboratory LocationLake Butler Medical Clinic675 E Main Street, Lake Butler, FL 32054
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lake Butler Medical Clinic Inc's NPI number?

The NPI number for Lake Butler Medical Clinic Inc is 1871582296. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Lake Butler Medical Clinic Inc located?

Lake Butler Medical Clinic Inc is located at 675 E Main St, Lake Butler, FL 32054. The listed phone number is (386) 496-1328.

What is Lake Butler Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Lake Butler Medical Clinic Inc enrolled in Medicare?

Yes. Lake Butler Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Butler Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lake Butler Medical Clinic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lake Butler Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0724550) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Butler Medical Clinic Inc accept?

Health plans from AvMed list Lake Butler Medical Clinic 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 Lake Butler Medical Clinic Inc was last updated on June 29, 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.