Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Family Medicine at Northside LLC

Organization Family Medicine Physician · NPI 1689743627

Family Medicine at Northside LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (478) 475-4886
Fax: (478) 475-4896
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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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