NPI age
19 years
Enumerated 2006-11-02
● Active Type 2 · Organization
Lake Medical Center
Lake Medical Center is 1 of 181 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Vidal
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 181 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1201 Siloam Rd
Greensboro, GA 306422811
Mailing address
1201 Siloam Rd
Greensboro, GA 306422811
Authorized official
Tina Vidal
Ceo
📞 7064537331
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Linda Abercrombie, P.T.A. Physical Therapy Assistant NPI 1912334053
- Adrianne Copelan, PTA Physical Therapy Assistant NPI 1487081287
- Cindy Davis, P.T. Physical Therapist NPI 1679900831
- Robert Davis, MD Radiology NPI 1083665541
- Jennifer Hoctor, PT, DPT Physical Therapist NPI 1689960015
- Julie Snyder, PTA Physical Therapy Assistant NPI 1457788580
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.