NORTHLAKE PHYSICIAN PRACTICE NETWORK INC
NPI 1285672220
Surgery - Surgical Oncology in Tucker, GA

Active since June 03, 2006
1459 MONTREAL RD, 408, TUCKER, GA 30084(770) 938-3440(770) 938-3443 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northlake Physician Practice Network Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAKE PHYSICIAN PRACTICE NETWORK INC (NPI 1285672220) is a healthcare organization registered as a surgical oncology in Tucker, Georgia and active in the NPI registry since June 2006. The organization lists Mark Pickett, Vp, as its authorized official.

NPPES Registry Identity

NPI1285672220
Entity TypeOrganization
Primary Taxonomy2086X0206X
Legal Business NameNORTHLAKE PHYSICIAN PRACTICE NETWORK INC
Location Address1459 MONTREAL RD, 408Tucker, GA 30084-6900
Mailing Address1459 Montreal Rd, 408Tucker, GA 30084-6900 · (770) 938-3440 · Fax (770) 938-3443
Fax(770) 938-3443
Organization SubpartNo
Authorized OfficialMark PickettVp · (678) 762-5037
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1285672220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

1459 MONTREAL RD, Tucker, GA 30084

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1459 MONTREAL RD, SUITE 304
TUCKER, GA 30084
Internal Medicine
1459 MONTREAL RD, STE 312
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD
TUCKER, GA 30084
Physician Assistant
1459 MONTREAL RD
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD, SUITE 207
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD
TUCKER, GA 30084
Internal Medicine
1459 MONTREAL RD, SUITE 304
TUCKER, GA 30084
Ophthalmology
1459 MONTREAL RD, STE 501
TUCKER, GA 30084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northlake Physician Practice Network Inc's NPI number?

The NPI number for Northlake Physician Practice Network Inc is 1285672220. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Northlake Physician Practice Network Inc located?

Northlake Physician Practice Network Inc is located at 1459 Montreal Rd 408, Tucker, GA 30084. The listed phone number is (770) 938-3440.

What is Northlake Physician Practice Network Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

When was this NPI record last updated?

The NPPES record for Northlake Physician Practice Network Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.