Lakeside Audiology LLC
NPI 1417341280 · Hearing and Speech Clinic/Center · Fort Mill, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Audiology LLC is a Hearing and Speech Clinic/Center organization in Fort Mill, SC (NPI 1417341280).
Provider details
- NPI number
- 1417341280
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Block, Doctor of Audiology(803) 412-6789
Specialties & taxonomies
Ambulatory Health Care Facilities
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-03-19
- Last updated
- 2021-11-19
- Certified
- 2021-11-19
Frequently asked questions
- What is Lakeside Audiology LLC's NPI number?
- Lakeside Audiology LLC's National Provider Identifier (NPI) is 1417341280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Audiology LLC?
- Lakeside Audiology LLC is classified in the NPPES registry as Hearing and Speech Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Audiology LLC located?
- Lakeside Audiology LLC's practice location on file with NPPES is 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988.
- What is Lakeside Audiology LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Audiology LLC is (803) 620-8250.
- Does Lakeside Audiology LLC accept Medicare?
- Lakeside Audiology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Audiology LLC?
- The authorized official listed on Lakeside Audiology LLC's NPPES record is Kimberly Block, Doctor of Audiology. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Audiology LLC's NPI active?
- Yes — Lakeside Audiology LLC's NPI (1417341280) is active in the NPPES registry as of the last update on 2021-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.