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Northlake Physician Practice Network Inc

Surgical Oncology Physician in Tucker, GA · enumerated 2006 · authorized official Mark Pickett, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285672220

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Registry record

Entity type Organization (Type 2)
Legal business name Northlake Physician Practice Network Inc
Practice address 1459 Montreal Rd, 408, Tucker, GA, 30084
Fax (770) 938-3443
Enumeration date Jun 3, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Pickett
Title Vp

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Northlake Physician Practice Network Inc?
Northlake Physician Practice Network Inc is registered in NPPES as a Surgical Oncology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.