Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northlake Physician Practice Network, Inc.

Gynecologic 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

1730110131

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Registry record

Entity type Organization (Type 2)

Legal business name Northlake Physician Practice Network, Inc.

Other name <Unavail>

Practice address 1459 Montreal Rd, Suite 408, Tucker, GA, 30084

Phone (770) 938-3440

Enumeration date Jul 5, 2006

Last updated in NPPES Aug 29, 2007

Taxonomy & classification

207VX0201X Gynecologic Oncology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Pickett

Title Vp

Phone (770) 938-3440

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-08-29. Verify at npiregistry.cms.hhs.gov.

Where is Northlake Physician Practice Network, Inc. located?

The practice location on file with NPPES is in Tucker, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-29.