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TEKLEWOLD H LAKE PA-C
NPI 1932426210
Physician Assistant in Doraville, GA

Active since April 27, 2010PECOS Enrolled
2830 CLEARVIEW PL, SUITE 500, DORAVILLE, GA 30340(678) 638-0888(678) 507-2360 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teklewold H Lake Pa-c NPPES

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

TEKLEWOLD H LAKE PA-C (NPI 1932426210) is an individual physician assistant in Doraville, Georgia, licensed in Georgia (005767) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932426210
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTEKLEWOLD H LAKECredential: PA-C
Location Address2830 CLEARVIEW PL, SUITE 500Doraville, GA 30340-2134
Mailing Address2830 Clearview Pl, Suite 500Doraville, GA 30340-2134 · (678) 638-0888 · Fax (678) 507-2360
Phone(678) 638-0888
Fax(678) 507-2360
Sole ProprietorNo
Enumeration DateApril 27, 2010
✔ NPI 1932426210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 005767
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2830 CLEARVIEW PL, Doraville, GA 30340
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Other Identifiers 1

Other005767GA · Georgia License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teklewold H Lake Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services60 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MIKE DAE WHANG MD INC
General Practice
2830 CLEARVIEW PL, 210
DORAVILLE, GA 30340
Dekalb County (678) 205-2670
IN AE MEDICAL CENTER PC
Family Medicine (Geriatric Medicine)
2830 CLEARVIEW PL, 100
DORAVILLE, GA 30340
Dekalb County (678) 205-2670
TENEKA HOSANG PA
Physician Assistant
2830 CLEARVIEW PL, 900
DORAVILLE, GA 30340
Dekalb County (404) 429-5949

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 Teklewold Lake's NPI number?

The NPI number for Teklewold Lake is 1932426210. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Teklewold Lake located?

Teklewold Lake practices at 2830 Clearview Pl Suite 500, Doraville, GA 30340. The listed phone number is (678) 638-0888.

What is Teklewold Lake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Teklewold Lake enrolled in Medicare?

Yes. Teklewold Lake is registered in the Medicare PECOS enrollment system.

What insurance does Teklewold Lake accept?

Health plans from Oscar Insurance Company list Teklewold Lake 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 Teklewold Lake was last updated on April 27, 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.