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MEDLOCK PEDIATRICS PC
NPI 1053416669
Pediatrics in Duluth, GA

Active since September 14, 2006CLIA 11D0873598 · Waiver
3497 DULUTH PARK LANE, DULUTH, GA 30096(770) 813-9775(770) 813-8976 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medlock Pediatrics Pc NPPES

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

MEDLOCK PEDIATRICS PC (NPI 1053416669) is a healthcare organization registered as a pediatrics in Duluth, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Maria A Batlle, Doctor, as its authorized official.

NPPES Registry Identity

NPI1053416669
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMEDLOCK PEDIATRICS PC
Location Address3497 DULUTH PARK LANEDuluth, GA 30096
Mailing Address3497 Duluth Park LaneDuluth, GA 30096 · (770) 813-9775 · Fax (770) 813-8976
Phone(770) 813-9775
Fax(770) 813-8976
Organization SubpartNo
Authorized OfficialMaria A BatlleDoctor · (770) 813-9775
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053416669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3497 DULUTH PARK LANE, Duluth, GA 30096
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Other Identifiers 1

Medicaid85000772GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0873598

Medlock Pediatrics · Duluth, GA
Active · expires Jun 6, 2027
CLIA Number11D0873598
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMaria A. Batlle MD
Laboratory Phone(770) 813-9775
Laboratory LocationMedlock Pediatrics3497 Duluth Park Lane Suite 200, Duluth, GA 30096
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KATHRYN M BENSON MD
Pediatrics
3497 DULUTH PARK LANE, STE 200
DULUTH, GA 30096
Gwinnett County (770) 813-9775
MARIA BATLLE MD
Pediatrics
3497 DULUTH PARK LANE, STE 200
DULUTH, GA 30096
Gwinnett County (770) 813-9775

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 Medlock Pediatrics PC's NPI number?

The NPI number for Medlock Pediatrics PC is 1053416669. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Medlock Pediatrics PC located?

Medlock Pediatrics PC is located at 3497 Duluth Park Lane, Duluth, GA 30096. The listed phone number is (770) 813-9775.

What is Medlock Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Medlock Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0873598) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medlock Pediatrics PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medlock Pediatrics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medlock Pediatrics PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.