NPI age
15 years
Enumerated 2011-03-21
● Active Type 2 · Organization
Northlake Internal Medicine
Northlake Internal Medicine is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Budell
Owner
Last NPPES update
2011-03-21
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2175 Northlake Pkwy, St 142,bldg 4
Tucker, GA 300844163
Mailing address
2175 Northlake Pkwy, St 142,bldg 4
Tucker, GA 300844163
Authorized official
John William Budell, M.D,
Owner
📞 7704962929
Individual providers at this organization
3 individual providers on file at this primary practice address.
- John Budell, MD Internal Medicine NPI 1972547198
- Cheryl Johnson Ransaw, L.C.S.W., C.E.A.P. Social Worker NPI 1477847424
- Arlene Wice, MED MA Marriage & Family Therapist NPI 1528146057
Specialties
-
Clinic/Center PrimaryAn 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...
Practice context
Multi-provider organization. 3 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 →
- 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.