Lake H Jameson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11994 Issued in SC

Practice address

735 McMillan Rd
Clemson, SC 29634-4054

Phone

(864) 656-2233

Fax

(864) 656-0760

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redfern Health Center

  • Clinic/Center
  • Clemson, SC
  • NPI 1003350281
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1740201789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "LAKE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119945",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zelma Izlar
• Kenneth G Jackson Jr., MD
• Sandra L Jacobs, APRN-C
• Amie Michelle Jakubiak, D.O.
• James L Woods Jr DDS PA
• Sally L Jenkins, LMT
• John E. Ross, III, DMD
• Rachel Johns, LPC-A
• Katie Lane Johnson, M.S. CCC-SLP
• Daniel Travis Johnston, ATC

• Family Medicine Physician in Clemson, SC
• Providers in Clemson, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.