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NORTHLAKE MEDICAL CENTER
NPI 1396798385
General Acute Care Hospital in Tucker, GA

Active since May 18, 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 09, 2026.

About Northlake Medical Center NPPES

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

NORTHLAKE MEDICAL CENTER (NPI 1396798385) is a healthcare organization registered as a general acute care hospital 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

NPI1396798385
Entity TypeOrganization
Primary Taxonomy282N00000X
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
Phone(770) 270-3000
Fax(770) 270-3199
Organization SubpartNo
Authorized OfficialMichael GordianCfo · (770) 270-3010
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396798385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1455 MONTREAL RD, Tucker, GA 30084
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Other Names 1

Doing Business AsNorthlake Medical Center

Other Identifiers 1

Medicaid110033RI

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.

ANGELA CELZO MSW
Social Worker
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 251-3297
NORTHLAKE MEDICAL CENTER, LLC
Rehabilitation Unit
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000
MRS. SUSAN WIDMAYER PT
Physical Therapist
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 694-9732
NORTHLAKE MEDICAL CENTER, LLC
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000
NORTHLAKE MEDICAL CENTER LLC
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000
DR. CHASE STUART DEAN M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 778-6970
MR. PALMER LEE WREN JR. OTR/L
Occupational Therapist
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 783-0262
JUSTIN M. JACKSON M.D.
Anesthesiology
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 251-3000

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 1396798385. It was assigned to this organization in the NPPES registry on May 18, 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 General Acute Care Hospital with taxonomy code 282N00000X.

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.