ATLANTA KETAMINE CENTER
NPI 1689414757
Clinic/Center - Mental Health (Including Community Mental Health Center) in Atlanta, GA

Q: What is Northland Medical LLC's NPI number?

The NPI number for Northland Medical LLC is 1689414757. It was assigned to this organization in the NPPES registry on May 28, 2024. The provider is doing business as Atlanta Ketamine Center.

Q: What is Northland Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 28, 2024

270 CARPENTER DR STE 515, ATLANTA, GA 30328(404) 803-0573 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Atlanta Ketamine Center NPPES

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

ATLANTA KETAMINE CENTER (NPI 1689414757) is a healthcare organization registered as a mental health (including community mental health center) in Atlanta, Georgia and active in the NPI registry since May 2024. The organization lists Zachary David Lazarus, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1689414757

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameNORTHLAND MEDICAL LLC

Location Address270 CARPENTER DR STE 515Atlanta, GA 30328-4949

Mailing Address270 Carpenter Dr Ste 515Atlanta, GA 30328-4949 · (404) 803-0573

Phone(404) 803-0573

Organization SubpartNo

Authorized OfficialZachary David LazarusCo-owner · (404) 709-2103

Enumeration DateMay 28, 2024

Last NPPES UpdateMay 29, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1689414757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

270 CARPENTER DR STE 515, Atlanta, GA 30328

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Other Names 1

Doing Business AsAtlanta Ketamine Center

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 Northland Medical LLC's NPI number?

The NPI number for Northland Medical LLC is 1689414757. It was assigned to this organization in the NPPES registry on May 28, 2024. The provider is doing business as Atlanta Ketamine Center.

Where is Northland Medical LLC located?

Northland Medical LLC is located at 270 Carpenter Dr Ste 515, Atlanta, GA 30328. The listed phone number is (404) 803-0573.

What is Northland Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Northland Medical LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.