Lake Medical Center
NPI 1366521395 · Rural Health Clinic/Center · Greensboro, GA
Lake Medical Center is a Rural Health Clinic/Center organization in Greensboro, GA (NPI 1366521395).
Provider details
- NPI number
- 1366521395
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tina Vidal, Ceo(706) 453-7331
- License
- PENDING (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
- 2006-11-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Medical Center's NPI number?
- Lake Medical Center's National Provider Identifier (NPI) is 1366521395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Medical Center?
- Lake Medical Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Medical Center located?
- Lake Medical Center's practice location on file with NPPES is 1201 Siloam Rd, Greensboro, GA 30642-2811.
- What is Lake Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Lake Medical Center is (706) 453-7331.
- Who is the authorized official for Lake Medical Center?
- The authorized official listed on Lake Medical Center's NPPES record is Tina Vidal, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Medical Center's NPI active?
- Yes — Lake Medical Center's NPI (1366521395) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.