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NORTHLAKE URGENT CARE INC
NPI 1528618220
Clinic/Center - Urgent Care in Tucker, GA

Active since September 13, 2019CLIA 11D2284811 · Microscopy
4060 LAVISTA RD, TUCKER, GA 30084(404) 231-7643(404) 237-1764 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2022, Sep 13, 2019 (2 updates tracked since 2019).

About Northlake Urgent Care Inc NPPES

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

NORTHLAKE URGENT CARE INC (NPI 1528618220) is a healthcare organization registered as an urgent care in Tucker, Georgia and active in the NPI registry since September 2019. The organization holds a CLIA Microscopy certificate valid through June 28, 2027 and lists Maria Latanya Walker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528618220
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameNORTHLAKE URGENT CARE INC
Location Address4060 LAVISTA RDTucker, GA 30084-5216
Mailing Address4060 Lavista RdTucker, GA 30084-5216 · (404) 231-7643
Phone(404) 231-7643
Fax(404) 237-1764
Organization SubpartNo
Authorized OfficialMaria Latanya WalkerCeo · (404) 231-7643
Enumeration DateSeptember 13, 2019
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1528618220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
4060 LAVISTA RD, Tucker, GA 30084
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northlake Urgent Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northlake Urgent Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maria Walker, MD
General Practice
NPI 1548213366
5071 SNAPFINGER WOODS DR
Decatur, GA 30035
(770) 981-0600
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2284811

Northlake Urgent Care · Tucker, GA
Active · expires Jun 28, 2027
CLIA Number11D2284811
Laboratory TypeUrgent Care
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorMaria Walker
Laboratory Phone(404) 231-7643
Laboratory LocationNorthlake Urgent Care4060 Lavista Road, Tucker, GA 30084
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Urgent Care Inc's NPI number?

The NPI number for Northlake Urgent Care Inc is 1528618220. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Northlake Urgent Care Inc located?

Northlake Urgent Care Inc is located at 4060 Lavista Rd, Tucker, GA 30084. The listed phone number is (404) 231-7643.

What is Northlake Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Northlake Urgent Care Inc enrolled in Medicare?

Yes. Northlake Urgent Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northlake Urgent Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Northlake Urgent Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northlake Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2284811) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northlake Urgent Care Inc was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.