Live Oak Medical Center, PA
NPI 1144455197ActiveOrganization· Family Medicine· Lake City, SC
Family Medicine in Lake City, South Carolina, registered in NPPES in May 2009, part of Live Oak Medical Center, PA. The authorized official on file is Albert Durant Mims, M.D., Director.
Overview
| NPI | 1144455197 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Live Oak Medical Center, PA |
| NPI issued | May 20, 2009 |
| Last updated in NPPES | May 17, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Lake City
- 1417354606
- 1548445166
- 1659506699
- 1063613099
- 1235330267
- 1386845311
- 1295458610
- 1437253028
- 1255630174
- 1144314394
- 1801992599
- 1669578373