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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: July 19, 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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Reviews for NORTHLAKE INTERNAL MEDICINE

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

DR. JOHN WILLIAM BUDELL MD
Internal Medicine
2175 NORTHLAKE PKWY, BLDG 4 STE 142
TUCKER, GA 30084
Dekalb County (770) 496-2929
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
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
ARLENE JANET WICE MED MA
Marriage & Family Therapist
2175 NORTHLAKE PKWY, STE 130 BLDG 4
TUCKER, GA 30084
Dekalb County (770) 642-3488

Frequently Asked Questions

What is NORTHLAKE INTERNAL MEDICINE's NPI number?

The NPI number assigned to this healthcare provider is 1710286414, enumerated as an "organization" on March 21, 2011.

Where is the provider located?

The provider is located at 2175 NORTHLAKE PKWY ST 142,BLDG 4 TUCKER, GA 30084 and the phone number is (770) 496-2929.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.