P Praxis·MD
● Active Type 2 · Organization

Northlake Medical Center, Llc

General Acute Care Hospital·Tucker, GA· NPI 1396798385 · Enumerated 2006 · 20 years on NPI
Northlake Medical Center, Llc is 1 of 309 general acute care hospital organizations in Georgia.
NPI age
20 years
Enumerated 2006-05-18
Primary specialty
General Acute Care Hospital
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 309 active general acute care hospital providers in Georgia.

NPI age
20 years
↑ 2 yr above median
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
📞 7702703000fax 7702703199
Mailing address
1455 Montreal Rd
Tucker, GA 300848100
📞 7702703000fax 7702703199

Authorized official

Michael Gordian
Cfo
📞 7702703010

Individual providers at this organization

15 individual providers on file at this primary practice address.

Specialties

  • General Acute Care Hospital Primary
    An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
    taxonomy 282N00000X

Identifiers

TypeValueNotes
05 (RI) 110033

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • NORTHLAKE MEDICAL CENTER
    Type code 3 recorded 2006-05-18

Practice context

Multi-provider organization. 15 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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