OrganizationActive
Lakeshore Pediatrics PC
NPI 1588002455 · Pediatrics Physician · Moulton, AL
Lakeshore Pediatrics PC is a Pediatrics Physician organization in Moulton, AL (NPI 1588002455).
Provider details
- NPI number
- 1588002455
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Agustin Rivas, President(256) 386-4151
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
12521 Al Highway 157 Ste B
Moulton, AL 35650-1937
Phone: (256) 974-6300
Fax: (256) 974-6333
Street-level locationGet directions
Mailing address
1120 S Jackson Hwy Ste 304
Sheffield, AL 35660-5773
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2013-06-12
Frequently asked questions
- What is Lakeshore Pediatrics PC's NPI number?
- Lakeshore Pediatrics PC's National Provider Identifier (NPI) is 1588002455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Pediatrics PC?
- Lakeshore Pediatrics PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Pediatrics PC located?
- Lakeshore Pediatrics PC's practice location on file with NPPES is 12521 Al Highway 157 Ste B, Moulton, AL 35650-1937.
- What is Lakeshore Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Pediatrics PC is (256) 974-6300.
- Who is the authorized official for Lakeshore Pediatrics PC?
- The authorized official listed on Lakeshore Pediatrics PC's NPPES record is Agustin Rivas, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Pediatrics PC's NPI active?
- Yes — Lakeshore Pediatrics PC's NPI (1588002455) is active in the NPPES registry as of the last update on 2013-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.