NPI age
19 years
Enumerated 2006-06-03
● Active Type 2 · Organization
Northlake Physician Practice Network Inc
Northlake Physician Practice Network Inc is 1 of 56 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pickett
Vp
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 56 active surgery providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1459 Montreal Rd, 408
Tucker, GA 300846900
Mailing address
1459 Montreal Rd, 408
Tucker, GA 300846900
Authorized official
Mark Pickett
Vp
📞 6787625037
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Om Arora, M.D. Surgery NPI 1811953813
- Ralph Beton, MD Specialist NPI 1932100609
- Ashley Boachie-Adjei, PA Physician Assistant NPI 1164671707
- Yvette Fitzgerald, PT Physical Therapist NPI 1306463807
- Jamie Miner, PT Physical Therapist NPI 1194926949
- Ali Mohamed, MD Internal Medicine NPI 1154448967
- Saeed Sayegh Physical Therapist NPI 1164098927
- Lisa Swift, APRN Nurse Practitioner NPI 1982803995
- Izabella Verbitsky, M.D., PH.D. Internal Medicine NPI 1427183243
Specialties
-
Surgery PrimaryA 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...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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