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MIKAELA MEDLIN
NPI 1053034314
Nurse Practitioner - Family in Acworth, GA

Active since September 22, 2022
4900 IVEY RD NW STE 1420, ACWORTH, GA 30101(404) 348-0530 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Jan 1, 2025, Aug 19, 2024 and 1 more (4 updates tracked since 2022).

About Mikaela Medlin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKAELA MEDLIN (NPI 1053034314) is an individual family provider in Acworth, Georgia, licensed in Georgia (RN323642) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1053034314
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIKAELA MEDLIN
Location Address4900 IVEY RD NW STE 1420Acworth, GA 30101-4007
Mailing Address7707 Us Highway 1 Ste 10Vero Beach, FL 32967-5667 · (772) 584-2080
Phone(404) 348-0530
Sole ProprietorYes
Enumeration DateSeptember 22, 2022
Last NPPES UpdateNovember 26, 20254 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1053034314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN323642
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-187429 (AL)
4900 IVEY RD NW STE 1420, Acworth, GA 30101
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIOR WOOD
Nurse Practitioner (Family)
4900 IVEY RD NW STE 1420
ACWORTH, GA 30101
Cobb County (400) 348-0530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikaela Medlin's NPI number?

The NPI number for Mikaela Medlin is 1053034314. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Mikaela Medlin located?

Mikaela Medlin practices at 4900 Ivey Rd NW Ste 1420, Acworth, GA 30101. The listed phone number is (404) 348-0530.

What is Mikaela Medlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mikaela Medlin was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.