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

Northlake Physician Practice Network Inc

Organization Surgical Oncology Physician · NPI 1285672220

Northlake Physician Practice Network Inc is a Surgical Oncology Physician in Tucker, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1459 Montreal Rd 408
Tucker, GA 30084-6900
Phone: (770) 938-3440
Fax: (770) 938-3443
Show map & directions

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

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X

Record details

NPI number1285672220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pickett — Vp · (678) 762-5037
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1459 Montreal Rd, 408, Tucker, GA 30084-6900