Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northlake Medical Center, LLC

Organization Rehabilitation Hospital Unit · NPI 1164476123

Northlake Medical Center, LLC is a Rehabilitation Hospital Unit in Tucker, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1455 Montreal Rd
Tucker, GA 30084-8100
Phone: (770) 270-3000
Fax: (770) 270-3199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Hospital Unit (primary) Taxonomy 273Y00000X

Record details

NPI number1164476123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gordian — Cfo · (770) 270-3010
Other names Northlake Medical Center
NPI enumeratedMay 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1455 Montreal Rd, Tucker, GA 30084-8100

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