NPI age
20 years
Enumerated 2006-05-22
● Active Type 2 · Organization
Northlake Medical Center, Llc
Northlake Medical Center, Llc is 1 of 62 rehabilitation unit organizations in Georgia.
Primary specialty
Rehabilitation Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gordian
Cfo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 62 active rehabilitation unit providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1455 Montreal Rd
Tucker, GA 300848100
Mailing address
1455 Montreal Rd
Tucker, GA 300848100
Authorized official
Michael Gordian
Cfo
📞 7702703010
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Angela Celzo, MSW Social Worker NPI 1114260585
- Julia Clark, PA Physician Assistant NPI 1821709890
- Bridget Coffey, RD Dietitian, Registered NPI 1659334266
- Katie Cole, CRNA Nurse Anesthetist, Certified Registered NPI 1962776849
- Chase Dean, M.D. Orthopaedic Surgery NPI 1386007201
- Kimberly Howard, CRNA Nurse Anesthetist, Certified Registered NPI 1427321371
- Justin Jackson, M.D. Anesthesiology NPI 1417216375
- Megan Kirkpatrick, NP Nurse Practitioner NPI 1437302270
- Aditya Marwaha, D.O. Anesthesiology NPI 1811122716
- Arnrae Moultrie, PA Physician Assistant NPI 1497731079
- Rima Patel, NP Nurse Practitioner NPI 1598515702
- Kimberly Perry Giguere, LMSW Social Worker NPI 1982947156
- Laura Reichwald, CRNA Nurse Anesthetist, Certified Registered NPI 1588601363
- Susan Widmayer, PT Physical Therapist NPI 1174902266
- Palmer Wren, OTR/L Occupational Therapist NPI 1396123782
Specialties
-
Rehabilitation Unit PrimaryIn general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
NORTHLAKE MEDICAL CENTER
Practice context
Multi-provider organization. 15 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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