OrganizationActive
Northlake Endoscopy Center
NPI 1871594499 · Ambulatory Surgical Clinic/Center · Tucker, GA
Provider details
- NPI number
- 1871594499
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ralph Beton, President(770) 939-4721
- License
- 044047 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1459 Montreal Rd
Su 204
Tucker, GA 30084-6900
Phone: (770) 939-4721
Fax: (770) 939-1187
Street-level locationGet directions
Mailing address
1459 Montreal Rd
Tucker, GA 30084-6900
Registry dates
- Enumerated
- 2005-08-04
- Last updated
- 2008-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.