Lakeside Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LAKESIDE NEUROLOGY, PC

Practice address

1100 Northside Forsyth Dr Ste 440
Cumming, GA 30041-6015

Phone

(678) 772-4422

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Frank Puhalovich, MDNPI 1548253941

Title

President

Phone

(678) 772-4422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: peterfutrell@lsn.allscriptsdirect.net
• Direct secure messaging: frankpuhalovich@lsn.allscriptsdirect.net

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.

• Frank Puhalovich, M.D.

  • Neurology Physician
  • Cumming, GA
  • NPI 1548253941
  Medicare reassignment Care Compare group NPD Authorized official
• Peter R Futrell, M.D.

  • Neurology Physician
  • Cumming, GA
  • NPI 1912990391
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1386172229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR STE 440",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR STE 440",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416015",
            "telephone_number": "678-772-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "PUHALOVICH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-772-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladybug Language and Literacy LLC
• Cheng Lai, PHARMD
• Kimberly Franzen Lairet, MD
• Lakeland Chiropractic Center, Inc.
• Lakeside Family Pharmacy LLC
• Lakeside Pediatrics, LLC
• Lakeside Pharmacy, LLC (Lakeside Pharmacy)
• Man Fung Lam, PHD., BCBA-D
• TSZ Yan Julitta Lam, DPT
• Ashley Mitchell Lamb, CNP

• Neurology Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.