Lacanilao Medical Management PC
NPI 1477698611 · Family Medicine Physician · Saint Marys, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lacanilao Medical Management PC is a Family Medicine Physician organization in Saint Marys, GA (NPI 1477698611).
Provider details
- NPI number
- 1477698611
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angelito Lacanilao, President(912) 882-5030
- License
- 052769 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
Other names (DBA / former)
- Doing business as
- Kings Bay Family Care
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2012-12-20
Frequently asked questions
- What is Lacanilao Medical Management PC's NPI number?
- Lacanilao Medical Management PC's National Provider Identifier (NPI) is 1477698611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lacanilao Medical Management PC?
- Lacanilao Medical Management PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lacanilao Medical Management PC located?
- Lacanilao Medical Management PC's practice location on file with NPPES is 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101.
- What is Lacanilao Medical Management PC's phone number?
- The practice phone number listed in the NPPES registry for Lacanilao Medical Management PC is (912) 882-5030.
- Does Lacanilao Medical Management PC accept Medicare?
- Lacanilao Medical Management PC 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 Lacanilao Medical Management PC?
- The authorized official listed on Lacanilao Medical Management PC's NPPES record is Angelito Lacanilao, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lacanilao Medical Management PC's NPI active?
- Yes — Lacanilao Medical Management PC's NPI (1477698611) is active in the NPPES registry as of the last update on 2012-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.