OrganizationActive
Northlake Medical & Wellness Center
NPI 1235415696 · Internal Medicine Physician · Atlanta, GA
Provider details
- NPI number
- 1235415696
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Cammack, Practice Manager(678) 551-7810
- License
- 036281 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2244 Henderson Mill Rd Ne
Suite 108
Atlanta, GA 30345-2760
Phone: (678) 551-7810
Fax: (678) 551-7815
Street-level locationGet directions
Mailing address
2244 Henderson Mill Rd Ne
Atlanta, GA 30345-2760
Registry dates
- Enumerated
- 2011-10-31
- Last updated
- 2011-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.