OrganizationActive
Angus Lake Healthcare, LLC
NPI 1912340829 · Long Term Care Pharmacy · Gordon, GA
Angus Lake Healthcare, LLC is a Long Term Care Pharmacy organization in Gordon, GA (NPI 1912340829).
Provider details
- NPI number
- 1912340829
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carl Stanley, Member(229) 520-5151
- License
- PHRE009911 (GA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(78/100 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
242 Milledgeville Hwy
Gordon, GA 31031-3827
Phone: (229) 520-5151
Fax: (478) 628-2263
Street-level locationGet directions
Mailing address
Po Box 249
Gordon, GA 31031-0249
Registry dates
- Enumerated
- 2013-04-10
- Last updated
- 2017-05-04
Frequently asked questions
- What is Angus Lake Healthcare, LLC's NPI number?
- Angus Lake Healthcare, LLC's National Provider Identifier (NPI) is 1912340829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Angus Lake Healthcare, LLC?
- Angus Lake Healthcare, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Angus Lake Healthcare, LLC located?
- Angus Lake Healthcare, LLC's practice location on file with NPPES is 242 Milledgeville Hwy, Gordon, GA 31031-3827.
- What is Angus Lake Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Angus Lake Healthcare, LLC is (229) 520-5151.
- Who is the authorized official for Angus Lake Healthcare, LLC?
- The authorized official listed on Angus Lake Healthcare, LLC's NPPES record is Carl Stanley, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Angus Lake Healthcare, LLC's NPI active?
- Yes — Angus Lake Healthcare, LLC's NPI (1912340829) 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.