NPI age
19 years
Enumerated 2006-07-05
● Active Type 2 · Organization
Northlake Physician Practice Network, Inc.
Northlake Physician Practice Network, Inc. is 1 of 66 obstetrics & gynecology organizations in Georgia.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pickett
Vp
Last NPPES update
2007-08-29
Source: monthly bulk 2026-05
How this organization compares
Across 66 active obstetrics & gynecology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1459 Montreal Rd, Suite 408
Tucker, GA 300846900
Mailing address
1459 Montreal Rd, Suite 408
Tucker, GA 300846900
Authorized official
Mark Pickett
Vp
📞 7709383440
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
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Women's Cancer Alliance
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.