Organization Active NPI

Northlake Family Medicine

  • Family Medicine Physician
  • Lilburn, GA
National Provider Identifier
1184827917
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040551 Issued in GA
Legal business name
NORTHLAKE FAMILY MEDICINE
Practice address
5354 Lawrenceville Hwy NW
Lilburn, GA 30047-5952
Phone
(770) 493-1800
Fax
(770) 493-1860
NPI assigned
Jun 8, 2007
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Inder Paul Singh, MDNPI 1235260696
Title
Medical Director
Phone
(770) 493-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040551 GA Primary

Addresses

Primary practice location

5354 Lawrenceville Hwy NW
Lilburn, GA 30047-5952

Mailing address

5354 Lawrenceville Hwy NW
Lilburn, GA 30047-5952
Phone (770) 493-1800

Other identifiers 1

IdentifierTypeStateIssuer
000676574BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2130 Lavista Exec Park Dr
Tucker, GA 30084

2135 Northlake Pkwy
Tucker, GA 30084
Phone (770) 493-1800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1184827917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 LAWRENCEVILLE HWY NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475952",
            "telephone_number": "770-493-1800",
            "fax_number": "770-493-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 LAWRENCEVILLE HWY NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475952",
            "telephone_number": "770-493-1800",
            "fax_number": "770-493-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "INDER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-493-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000676574B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.