East Lake Pediatrics
East Lake Pediatrics is a healthcare organization registered as Pediatrics Physician in Trinity, FL, holding Type 2 (organization) NPI 1144343617 since 2007. The authorized official on file is Melissa Montgomery, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1144343617 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | East Lake Pediatrics |
| Practice address | 2137 LITTLE RD, Trinity, FL, 34655 |
| Phone | 7273726760 |
| Fax | 7273726808 |
| Enumeration date | 2007-04-09 |
| Last updated in NPPES | 2024-02-14 |
Authorized official
| Name | Melissa Montgomery |
|---|---|
| Title | Manager |
| Phone | 7273726760 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | ME86866 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS9496 | Other | FL | LICENSE NUMBER |
Copy-ready billing details
Provider: East Lake Pediatrics NPI: 1144343617 Taxonomy: 208000000X (Pediatrics Physician) Address: 2137 LITTLE RD, Trinity, FL, 34655
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366437345 | Julie Walters | Individual | Pediatrics Physician | Trinity, FL |
| 1205816840 | Michael Jordan | Individual | Pediatrics Physician | Trinity, FL |
| 1578519377 | Jessica Smith | Individual | Pediatrics Physician | Trinity, FL |
| 1750463766 | Leah Mccormack | Individual | Pediatric Nurse Practitioner | Trinity, FL |
| 1164616975 | Jennifer Leal | Individual | Primary Care Nurse Practitioner | Trinity, FL |
| 1841485380 | Lacey Hodgson | Individual | Pediatric Nurse Practitioner | Trinity, FL |
| 1275853145 | Cary Aungst | Individual | Pediatrics Physician | Trinity, FL |
| 1124480330 | Christopher Smith | Individual | Pediatrics Physician | Trinity, FL |
Verify this record
Cross-check NPI 1144343617 against the authoritative CMS record: view East Lake Pediatrics on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is East Lake Pediatrics located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-14.