P Praxis·MD
● Active Type 2 · Organization

Lakeshore Tubal Reversal Center

Clinic/Center·Gainesville, GA· NPI 1457425159 · Enumerated 2006 · 19 years on NPI
Lakeshore Tubal Reversal Center is 1 of 602 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bates
Office Manager
Last NPPES update
2009-03-10
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
19 years
↑ 4 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
2320 Limestone Parkway
Gainesville, GA 30501
📞 8775885594fax 7705310053
Mailing address
2320 Limestone Parkway
Gainesville, GA 30501
📞 8775885594fax 7705310053

Authorized official

Cecilia Ashleigh Bates
Office Manager
📞 7705311181

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #GA LIC 022231GA license #DEA AG5691452 taxonomy 261QA1903X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Lakeshore Surgical Center
    Type code 3 recorded 2009-03-10

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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