OrganizationActive
Southlake Health Care
NPI 1235776220 · Clinic/Center · Morrow, GA
Southlake Health Care is a Clinic/Center organization in Morrow, GA (NPI 1235776220).
Provider details
- NPI number
- 1235776220
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Broe, Proprietor(404) 884-0298
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1096 Mount Zion Rd Ste 1130
Morrow, GA 30260-2213
Phone: (678) 604-7739
Fax: (470) 615-7772
Street-level locationGet directions
Mailing address
1096 Mount Zion Rd Ste 1130
Morrow, GA 30260-2213
Registry dates
- Enumerated
- 2019-12-09
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Southlake Health Care's NPI number?
- Southlake Health Care's National Provider Identifier (NPI) is 1235776220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Health Care?
- Southlake Health Care is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southlake Health Care located?
- Southlake Health Care's practice location on file with NPPES is 1096 Mount Zion Rd Ste 1130, Morrow, GA 30260-2213.
- What is Southlake Health Care's phone number?
- The practice phone number listed in the NPPES registry for Southlake Health Care is (678) 604-7739.
- Who is the authorized official for Southlake Health Care?
- The authorized official listed on Southlake Health Care's NPPES record is Justin Broe, Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Health Care's NPI active?
- Yes — Southlake Health Care's NPI (1235776220) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.