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

Family Medicine at Northside LLC

Organization Family Medicine Physician · NPI 1689743627

Family Medicine at Northside LLC is a Family Medicine Physician in Macon, 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

420 Charter Blvd Ste 3003
Macon, GA 31210-4854
Phone: (478) 475-4886
Fax: (478) 475-4896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1689743627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pickett — Vp · (678) 762-5037
NPI enumeratedNovember 6, 2006
Last updated in NPPESApril 20, 2008
Mailing address420 Charter Blvd, Suite 3003, Macon, GA 31210-4854

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