Jack Lake, D.O.
NPI 1932248101 · Diagnostic Radiology Physician · Albany, GA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Lake, D.O. is a Diagnostic Radiology Physician provider in Albany, GA (NPI 1932248101).
Provider details
- NPI number
- 1932248101
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 101304 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,438 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 859 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 238 | $38 |
| Mri Scan of Brain Without Contrast70551 | 116 | $67 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 95 | $67 |
| Complete Ultrasound Scan Behind Abdominal Cavity76770 | 76 | $34 |
| X-Ray of Abdomen, 1 View74018 | 64 | $9 |
Practice location
Mailing address
Additional practice locations (1)
- 940 Ne 13th St4g4250Oklahoma City, OK 73104-5008Phone: (405) 271-5125Fax: (405) 271-3462
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Frequently asked questions
- What is Jack Lake's NPI number?
- Jack Lake's National Provider Identifier (NPI) is 1932248101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Lake's specialty?
- Jack Lake is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Lake located?
- Jack Lake's practice location on file with NPPES is 2624 Dawson Rd, Albany, GA 31707-1609.
- What is Jack Lake's phone number?
- The practice phone number listed in the NPPES registry for Jack Lake is (229) 888-1624.
- Does Jack Lake accept Medicare?
- Jack Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Lake's NPI active?
- Yes — Jack Lake's NPI (1932248101) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.