Lakeside Family Medicine
NPI 1720514029 · Primary Care Clinic/Center · Gainesville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Family Medicine is a Primary Care Clinic/Center organization in Gainesville, GA (NPI 1720514029).
Provider details
- NPI number
- 1720514029
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Foroogh Narmani-Mohammadi, Family Nurse Practitioner(770) 899-3773
- License
- F0514016 (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
9 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
- 2017-05-04
- Last updated
- 2017-05-04
Frequently asked questions
- What is Lakeside Family Medicine's NPI number?
- Lakeside Family Medicine's National Provider Identifier (NPI) is 1720514029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Medicine?
- Lakeside Family Medicine is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Family Medicine located?
- Lakeside Family Medicine's practice location on file with NPPES is 104 Carrington Park Dr Ste B, Gainesville, GA 30504-6603.
- What is Lakeside Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Medicine is (770) 899-3773.
- Does Lakeside Family Medicine accept Medicare?
- Lakeside Family Medicine 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 Family Medicine?
- The authorized official listed on Lakeside Family Medicine's NPPES record is Foroogh Narmani-Mohammadi, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Medicine's NPI active?
- Yes — Lakeside Family Medicine's NPI (1720514029) is active in the NPPES registry as of the last update on 2017-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.