NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakebridge Medical Investors, LLC

Skilled Nursing Facility in Johnson City, TN · enumerated 2006 · authorized official Jimmy (J.R.) Lewis, Chief Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407933443

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Lakebridge Medical Investors, LLC
Other name <Unavail>
Practice address 115 Woodlawn Dr, Johnson City, TN, 37604
Phone (423) 975-0095
Fax (423) 928-0358
Enumeration date Nov 1, 2006
Last updated in NPPES Jun 12, 2008

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 0000000340 (TN) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jimmy (J.R.) Lewis
Title Chief Manager
Phone (423) 975-5455

Other identifiers

Identifier Type State Issuer
0445358 Medicaid TN -
7440576 Medicaid TN -

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 → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-12. Verify at npiregistry.cms.hhs.gov.
Where is Lakebridge Medical Investors, LLC located?
The practice location on file with NPPES is in Johnson City, TN.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-12.