LAKEWOOD MEDICAL
NPI 1346701216
Family Medicine in Atlanta, GA
NPI Status: Active since March 25, 2019
Contact Information
2891 LAKEWOOD AVE SW
ATLANTA, GA
ZIP 30315
Phone: (678) 927-9996
Fax: (404) 835-2872
- Organization
- Family Medicine
- CLIA Number: 11D2019336
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2027
About LAKEWOOD MEDICAL
This page provides the complete NPI Profile along with additional information for Lakewood Medical, a primary care provider established in Atlanta, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1346701216 assigned on March 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Lakewood Medical operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rashawn Baaith (Coo)
- NPI
- 1346701216
- Provider Name
- LAKEWOOD MEDICAL
- Entity Type
- Organization
- Location Address
- 2891 LAKEWOOD AVE SW ATLANTA, GA 30315
- Location Phone
- (678) 927-9996
- Location Fax
- (404) 835-2872
- Mailing Address
- 2891 LAKEWOOD AVE SW ATLANTA, GA 30315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-25-2019
- Last Update Date
- 07-15-2024
- Code Navigator
A primary care provider (PCP) like Lakewood Medical sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2019336
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2025
- Certificate Expiration Date
- January 26, 2027
- Laboratory Director
- OMOLARA B. KUTEYI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lakewood Medical in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 7 | 0 | 1 | 2 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 14 | 0 | 2 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 1 + 4 + 0 + 2 + 2 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1346701216 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104210194 | JHAELYN ALENZIA ODOM N.P. Individual | Nurse Practitioner (Women's Health) | 2891 LAKEWOOD AVE SW ATLANTA, GA 30315 (678) 927-9996 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346701216, enumerated in the NPI registry as an "organization" on March 25, 2019
The provider is located at 2891 Lakewood Ave Sw Atlanta, Ga 30315 and the phone number is (678) 927-9996
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 11D2019336 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 25, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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