NORTHLAKE MEDICAL CENTER
NPI 1164476123
Rehabilitation Unit in Tucker, GA

Active since May 22, 2006
1455 MONTREAL RD, TUCKER, GA 30084(770) 270-3000(770) 270-3199 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northlake Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAKE MEDICAL CENTER (NPI 1164476123) is a healthcare organization registered as a rehabilitation unit in Tucker, Georgia and active in the NPI registry since May 2006. The organization lists Michael Gordian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164476123
Entity TypeOrganization
Primary Taxonomy273Y00000X
Legal Business NameNORTHLAKE MEDICAL CENTER, LLC
Location Address1455 MONTREAL RDTucker, GA 30084-8100
Mailing Address1455 Montreal RdTucker, GA 30084-8100 · (770) 270-3000 · Fax (770) 270-3199
Fax(770) 270-3199
Organization SubpartNo
Authorized OfficialMichael GordianCfo · (770) 270-3010
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1164476123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation UnitHospital Units
Taxonomy Code273Y00000X
Definition
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
1455 MONTREAL RD, Tucker, GA 30084

Other Names 1

Doing Business AsNorthlake Medical Center

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1455 MONTREAL RD
TUCKER, GA 30084
Physical Therapist
1455 MONTREAL RD
TUCKER, GA 30084
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1455 MONTREAL RD
TUCKER, GA 30084
Occupational Therapist
1455 MONTREAL RD
TUCKER, GA 30084
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Anesthesiology
1455 MONTREAL RD
TUCKER, GA 30084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northlake Medical Center, LLC's NPI number?

The NPI number for Northlake Medical Center, LLC is 1164476123. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Northlake Medical Center.

Where is Northlake Medical Center, LLC located?

Northlake Medical Center, LLC is located at 1455 Montreal Rd, Tucker, GA 30084. The listed phone number is (770) 270-3000.

What is Northlake Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Unit with taxonomy code 273Y00000X.

When was this NPI record last updated?

The NPPES record for Northlake Medical Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.