Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Theo Lake, MD

Individual provider Internal Medicine Physician · NPI 1154853430

Dr. David Theo Lake, MD is a Hospitalist in Sumter, South Carolina. Graduated from University of South Carolina School of Medicine in 2017, 9 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

129 N Washington St
Sumter, SC 29150-4949
Phone: (803) 774-9680
Fax: (803) 434-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 85514 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 85514 (SC)

Record details

NPI number1154853430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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