Home
/
Specialty
/
General Acute Care Hospital
/
GA
/
NPI 1396798385
● 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
NPI lifetime · 2006 → 2026
2006-05 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1455 Montreal Rd
Tucker, GA 300848100
📞 7702703000 fax 7702703199
Mailing address
1455 Montreal Rd
Tucker, GA 300848100
📞 7702703000 fax 7702703199
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
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
Type Value Notes
05 (RI)
110033
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
15 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 309 General Acute Care Hospital providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →
How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.