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NORTHLAKE INTERNAL MEDICINE
NPI 1710286414
Clinic/Center - Medical Specialty in Tucker, GA

Active since March 21, 2011
2175 NORTHLAKE PKWY, ST 142,BLDG 4, TUCKER, GA 30084(770) 496-2929(770) 496-2930 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northlake Internal Medicine NPPES

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

NORTHLAKE INTERNAL MEDICINE (NPI 1710286414) is a healthcare organization registered as a medical specialty in Tucker, Georgia and active in the NPI registry since March 2011. The organization lists John William Budell, Owner, as its authorized official.

NPPES Registry Identity

NPI1710286414
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTHLAKE INTERNAL MEDICINE
Location Address2175 NORTHLAKE PKWY, ST 142,BLDG 4Tucker, GA 30084-4163
Mailing Address2175 Northlake Pkwy, St 142,bldg 4Tucker, GA 30084-4163 · (770) 496-2929 · Fax (770) 496-2930
Phone(770) 496-2929
Fax(770) 496-2930
Organization SubpartNo
Authorized OfficialJohn William BudellOwner · (770) 496-2929
Enumeration DateMarch 21, 2011
✔ NPI 1710286414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 017369
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2175 NORTHLAKE PKWY, Tucker, GA 30084
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Other Providers at the Same Location NPPES 4

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

MRS. CHERYL AMYLE JOHNSON RANSAW L.C.S.W., C.E.A.P.
Social Worker (Clinical)
2175 NORTHLAKE PKWY, SUITE 130, BUILDING 4
TUCKER, GA 30084
Dekalb County (404) 794-7101
ARLENE JANET WICE MED MA
Marriage & Family Therapist
2175 NORTHLAKE PKWY, STE 130 BLDG 4
TUCKER, GA 30084
Dekalb County (770) 642-3488
L&R IMAGING INC.
Clinic/Center (Magnetic Resonance Imaging (MRI))
2175 NORTHLAKE PKWY, BUILDING 4 SUITE 129
TUCKER, GA 30084
Dekalb County (770) 685-1727
DR. JOHN WILLIAM BUDELL MD
Internal Medicine
2175 NORTHLAKE PKWY, BLDG 4 STE 142
TUCKER, GA 30084
Dekalb County (770) 496-2929

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 Internal Medicine's NPI number?

The NPI number for Northlake Internal Medicine is 1710286414. It was assigned to this organization in the NPPES registry on March 21, 2011.

Where is Northlake Internal Medicine located?

Northlake Internal Medicine is located at 2175 Northlake Pkwy St 142,bldg 4, Tucker, GA 30084. The listed phone number is (770) 496-2929.

What is Northlake Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Northlake Internal Medicine was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.