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NORTHLAKE ENDOSCOPY CENTER
NPI 1871594499
Clinic/Center - Ambulatory Surgical in Tucker, GA

Active since August 04, 2005
1459 MONTREAL RD, SU 204, TUCKER, GA 30084(770) 939-4721(770) 939-1187 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northlake Endoscopy Center NPPES

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

NORTHLAKE ENDOSCOPY CENTER (NPI 1871594499) is a healthcare organization registered as an ambulatory surgical in Tucker, Georgia and active in the NPI registry since August 2005. The organization lists Ralph Robert Beton, President, as its authorized official.

NPPES Registry Identity

NPI1871594499
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHLAKE ENDOSCOPY CENTER
Location Address1459 MONTREAL RD, SU 204Tucker, GA 30084-6900
Mailing Address1459 Montreal Rd, Su 204Tucker, GA 30084-6900 · (770) 939-4721 · Fax (770) 939-1187
Phone(770) 939-4721
Fax(770) 939-1187
Organization SubpartNo
Authorized OfficialRalph Robert BetonPresident · (770) 939-4721
Enumeration DateAugust 4, 2005
Last NPPES UpdateMay 8, 2008
✔ NPI 1871594499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 044047
1459 MONTREAL RD, Tucker, GA 30084
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Other Identifiers 2

Medicare ID-Type Unspecified111031ASCAGA
Medicaid000468652AGA

Other Providers at the Same Location NPPES 15

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

NORTHLAKE MULTISPECIALTY ASSOCIATES LLC
Family Medicine
1459 MONTREAL RD, SUITE 304
TUCKER, GA 30084
Dekalb County (770) 908-4444
DR. ALI M MOHAMED MD
Internal Medicine
1459 MONTREAL RD, STE 312
TUCKER, GA 30084
Dekalb County (770) 270-4060
SAEED SAYEGH
Physical Therapist
1459 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 251-3420
MS. ASHLEY NICOLE BOACHIE-ADJEI PA
Physician Assistant
1459 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 778-3347
DR. JAMIE MINER PT
Physical Therapist
1459 MONTREAL RD, SUITE 207
TUCKER, GA 30084
Dekalb County (770) 491-2622
NORTHLAKE PHYSICIAN PRACTICE NETWORK INC
Surgery (Surgical Oncology)
1459 MONTREAL RD, 408
TUCKER, GA 30084
Dekalb County (770) 938-3440
YVETTE DANIELLE FITZGERALD PT
Physical Therapist
1459 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 251-3420
DR. IZABELLA VERBITSKY M.D., PH.D.
Internal Medicine
1459 MONTREAL RD, SUITE 304
TUCKER, GA 30084
Dekalb County (404) 251-2930

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 Endoscopy Center's NPI number?

The NPI number for Northlake Endoscopy Center is 1871594499. It was assigned to this organization in the NPPES registry on August 4, 2005.

Where is Northlake Endoscopy Center located?

Northlake Endoscopy Center is located at 1459 Montreal Rd Su 204, Tucker, GA 30084. The listed phone number is (770) 939-4721.

What is Northlake Endoscopy Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Northlake Endoscopy Center was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.