Organization Active NPI

Lake Oconee Partners in Healthcare, LLC

  • Family Medicine Physician
  • Eatonton, GA
National Provider Identifier
1073829404
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKE OCONEE PARTNERS IN HEALTHCARE, LLC
Practice address
114 Harmony Xing Ste 1
Eatonton, GA 31024-9546
Phone
(706) 484-0884
NPI assigned
Aug 23, 2010
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jameelah Jean GaterNPI 1851370126
Title
Physician
Phone
(706) 816-2607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

114 Harmony Xing Ste 1
Eatonton, GA 31024-9546

Mailing address

114 Harmony Xing Ste 1
Eatonton, GA 31024-9546
Phone (706) 484-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000730 GA Part B Supplier - Clinic/Group Practice 4688860364 Receives reassigned benefits from 7 practitioners
Practice locations: Eatonton, GA

National Provider Directory

National Provider Directory

Locations

114 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (706) 484-0884

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1073829404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OCONEE PARTNERS IN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "GATER",
        "authorized_official_first_name": "JAMEELAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-816-2607"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.