ANDREW N LAKE (MD) – Gastroenterology Physician, NPI 1821224809

ANDREW N LAKE (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 072389 (GA). The NPI Number for ANDREW N LAKE (MD) is 1821224809

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW N LAKE (MD)
NPI
1821224809
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
4 June 2009
Last Update Date
12 June 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7705368109
Graduation Year
2009 (17 years ago)
PAC ID
1759672108
Group Practice PAC ID
9931190295
Professional Enrollment ID
I20170620001823
Address ID
GA305017443GA2324XOVER300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

524 GASTROENTEROLOGY in GA

Provider Addresses for ANDREW N LAKE (MD)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 743 Spring St NE

    Gainesville, GA 305013715

    Phone: (770) 219-9000

    Type: Location

  • 2324, Limestone Overlook, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305017443

    Phone: (770) 536-8109

    Fax: (770) 536-3203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $3,104.

Total Amount is formed as General ($3,104) + Research ($0) + Ownership ($0) = $3,104.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($515).

Total Amount

$3,104

General + Research + Ownership

Payments

167

Total payment records

General Amount

$3,104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170620001823IGastroenterologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity479222$0
99214Established patient office or other outpatient visit, 30-39 minutes204174$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare178178$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope126121$0
99213Established patient office or other outpatient visit, 20-29 minutes7068$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931190295View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineGA
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YDE
G A S T R O E N T E R O L O G YGA
Gastroenterology, Internal MedicineGA
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YAL
-GA

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Frequently asked questions

What NPI should I save for ANDREW N LAKE (MD)?
Save NPI 1821224809 if you need a stable reference for ANDREW N LAKE (MD).
Is ANDREW N LAKE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ANDREW N LAKE (MD) treat or focus on?
Patients typically see ANDREW N LAKE (MD) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ANDREW N LAKE (MD)?
The snapshot lists Atlanta, Georgia for ANDREW N LAKE (MD); download NPPES for the complete set.
What if Atlanta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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