NORTHLAKE PHYSICIAN PRACTICE NETWORK INC – NPI #1285672220
Surgery

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.

NORTHLAKE PHYSICIAN PRACTICE NETWORK INC is a surgeon located in TUCKER, GA. NPPES has assigned the NPI number 1285672220 to NORTHLAKE PHYSICIAN PRACTICE NETWORK INC on June 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHLAKE PHYSICIAN PRACTICE NETWORK INC below.

NPI Profile for
NORTHLAKE PHYSICIAN PRACTICE NETWORK INC

NPI Number
1285672220
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHLAKE PHYSICIAN PRACTICE NETWORK INC
Primary location
1459 MONTREAL RD
408
TUCKER, GA 30084-6900
Phone: (770) 938-3440 Fax: (770) 938-3443
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK PICKETT
VP
Phone: (678) 762-5037
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086X0206X
- Surgery / Surgical Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.