OrganizationActive
Northlake Medical Center, LLC
NPI 1164476123 · Rehabilitation Hospital Unit · Tucker, GA
Northlake Medical Center, LLC is a Rehabilitation Hospital Unit organization in Tucker, GA (NPI 1164476123).
Provider details
- NPI number
- 1164476123
- Entity type
- Organization
- Primary specialty
- Rehabilitation Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Michael Gordian, Cfo(770) 270-3010
Specialties & taxonomies
Hospital Units
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1455 Montreal Rd
Tucker, GA 30084-8100
Phone: (770) 270-3000
Fax: (770) 270-3199
Street-level locationGet directions
Mailing address
1455 Montreal Rd
Tucker, GA 30084-8100
Other names (DBA / former)
- Doing business as
- Northlake Medical Center
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northlake Medical Center, LLC's NPI number?
- Northlake Medical Center, LLC's National Provider Identifier (NPI) is 1164476123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northlake Medical Center, LLC?
- Northlake Medical Center, LLC is classified in the NPPES registry as Rehabilitation Hospital Unit (Hospital Units).
- Where is Northlake Medical Center, LLC located?
- Northlake Medical Center, LLC's practice location on file with NPPES is 1455 Montreal Rd, Tucker, GA 30084-8100.
- What is Northlake Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Northlake Medical Center, LLC is (770) 270-3000.
- Who is the authorized official for Northlake Medical Center, LLC?
- The authorized official listed on Northlake Medical Center, LLC's NPPES record is Michael Gordian, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northlake Medical Center, LLC's NPI active?
- Yes — Northlake Medical Center, LLC's NPI (1164476123) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.