NORTHLAKE MEDICAL CENTER
NPI 1255385217
General Acute Care Hospital in Tucker, GA

NPI Status: Active since May 22, 2006

Contact Information

1455 MONTREAL RD
TUCKER, GA
ZIP 30084
Phone: (770) 270-3000
Fax: (770) 270-3199

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  • Organization
  • General Acute Care Hospital

About NORTHLAKE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Northlake Medical Center, a provider established in Tucker, Georgia operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1255385217 assigned on May 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Northlake Medical Center. The authorized official of this NPI record is Michael Gordian (Cfo)

NPI
1255385217
Provider Legal Name
NORTHLAKE MEDICAL CENTER, LLC
Other Organization Name
NORTHLAKE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1455 MONTREAL RD TUCKER, GA 30084
Location Phone
(770) 270-3000
Location Fax
(770) 270-3199
Mailing Address
1455 MONTREAL RD TUCKER, GA 30084
Mailing Phone
(770) 270-3000
Mailing Fax
(770) 270-3199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
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 treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL GORDIAN

Authorized Official Title
CFO
Authorized Official Phone
(770) 270-3010

Reviews for NORTHLAKE MEDICAL CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255385217
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105681022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 8 + 1 + 0 + 2 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1255385217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659334266 BRIDGET T COFFEY RD
Individual
Dietitian, Registered1455 MONTREAL RD
TUCKER, GA 30084
(770) 270-3219
1346294303NORTHLAKE MEDICAL CENTER LLC
Organization
General Acute Care Hospital1455 MONTREAL RD
TUCKER, GA 30084
(770) 270-3000
1588601363 LAURA ANN REICHWALD CRNA
Individual
Nurse Anesthetist, Certified Registered1455 MONTREAL RD
TUCKER, GA 30084
(865) 985-7253
1437302270MRS. MEGAN KIRKPATRICK NP
Individual
Nurse Practitioner (Family)1455 MONTREAL RD
TUCKER, GA 30084
(404) 778-5334
1114260585 ANGELA CELZO MSW
Individual
Social Worker1455 MONTREAL RD
TUCKER, GA 30084
(404) 251-3297
1982947156 KIMBERLY BROOKE PERRY GIGUERE LMSW
Individual
Social Worker1455 MONTREAL RD SOCIAL SERVICES
TUCKER, GA 30084
(404) 251-3319
1396123782MR. PALMER LEE WREN JR. OTR/L
Individual
Occupational Therapist1455 MONTREAL RD
TUCKER, GA 30084
(404) 783-0262
1174902266MRS. SUSAN WIDMAYER PT
Individual
Physical Therapist1455 MONTREAL RD
TUCKER, GA 30084
(404) 694-9732
1417216375 JUSTIN M. JACKSON M.D.
Individual
Anesthesiology1455 MONTREAL RD
TUCKER, GA 30084
(404) 251-3000
1427321371 KIMBERLY E HOWARD CRNA
Individual
Nurse Anesthetist, Certified Registered1455 MONTREAL RD
TUCKER, GA 30084
(404) 251-3000
1962776849 KATIE T COLE CRNA
Individual
Nurse Anesthetist, Certified Registered1455 MONTREAL RD
TUCKER, GA 30084
(404) 251-3000
1396798385NORTHLAKE MEDICAL CENTER, LLC
Organization
General Acute Care Hospital1455 MONTREAL RD
TUCKER, GA 30084
(770) 270-3000
1164476123NORTHLAKE MEDICAL CENTER, LLC
Organization
Rehabilitation Unit1455 MONTREAL RD
TUCKER, GA 30084
(770) 270-3000
1659458776NORTHLAKE MEDICAL CENTER, LLC
Organization
General Acute Care Hospital1455 MONTREAL RD
TUCKER, GA 30084
(770) 270-3000
1811122716 ADITYA MARWAHA D.O.
Individual
Anesthesiology1455 MONTREAL RD
TUCKER, GA 30084
(404) 778-8413
1386007201DR. CHASE STUART DEAN M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1455 MONTREAL RD
TUCKER, GA 30084
(404) 778-6970
1497731079 ARNRAE UDINSKY MOULTRIE PA
Individual
Physician Assistant1455 MONTREAL RD
TUCKER, GA 30084
(404) 251-3000
1598515702 RIMA AJESH PATEL NP
Individual
Nurse Practitioner (Adult Health)1455 MONTREAL RD
TUCKER, GA 30084
(404) 251-3100
1821709890 JULIA MARIE CLARK PA
Individual
Physician Assistant1455 MONTREAL RD
TUCKER, GA 30084
(404) 778-3350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255385217, enumerated in the NPI registry as an "organization" on May 22, 2006

The provider is located at 1455 Montreal Rd Tucker, Ga 30084 and the phone number is (770) 270-3000

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

This NPI record was last updated on May 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.