Lakewood Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKEWOOD MEDICAL

Practice address

2891 Lakewood Ave SW
Atlanta, GA 30315-5803

Phone

(678) 927-9996

Fax

(404) 835-2872

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Rashawn Baaith

Title

Coo

Phone

(404) 702-7225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Otis Samuel Powell Jr., M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1285654301
  Medicare reassignment NPD
• Jhaelyn Alenzia Odom, N.P.

  • Women's Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1104210194
  NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1346701216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 LAKEWOOD AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 LAKEWOOD AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155803",
            "telephone_number": "678-927-9996",
            "fax_number": "404-835-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BAAITH",
        "authorized_official_first_name": "RASHAWN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-702-7225"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lake, TREATMENT CONSULTANT
• Makenzie Lake
• Maya Lake
• Davis Prideaux Lakeman, PA-S
• Lakewood Health Center
• Chari Lakey
• Anisa Lakhani, M.D.
• Iram Lakhani
• Naheed Amin Lakhani
• Shaheen Lakhani, FNP

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.