Family Clinic at the Lake PLLC
NPI 1295620557 · Rural Health Clinic/Center · Savannah, TN
Family Clinic at the Lake PLLC is a Rural Health Clinic/Center organization in Savannah, TN (NPI 1295620557).
Provider details
- NPI number
- 1295620557
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ellanikole Jackson, Owner(901) 500-8629
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Family Clinic at the Lake PLLC's NPI number?
- Family Clinic at the Lake PLLC's National Provider Identifier (NPI) is 1295620557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Clinic at the Lake PLLC?
- Family Clinic at the Lake PLLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Family Clinic at the Lake PLLC located?
- Family Clinic at the Lake PLLC's practice location on file with NPPES is 1440 Pickwick St, Savannah, TN 38372-3519.
- What is Family Clinic at the Lake PLLC's phone number?
- The practice phone number listed in the NPPES registry for Family Clinic at the Lake PLLC is (731) 925-3354.
- Who is the authorized official for Family Clinic at the Lake PLLC?
- The authorized official listed on Family Clinic at the Lake PLLC's NPPES record is Ellanikole Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Clinic at the Lake PLLC's NPI active?
- Yes — Family Clinic at the Lake PLLC's NPI (1295620557) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.