PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA
NPI 1366721706
Pediatrics - Pediatric Endocrinology in Duluth, GA

NPI Status: Active since August 16, 2011

Contact Information

10700 MEDLOCK BRIDGE RD
SUITE 102
DULUTH, GA
ZIP 30097
Phone: (678) 691-5351
Fax: (770) 685-1241

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  • Organization
  • Pediatrics
  • Pediatric Endocrinology
  • Accepts Insurance
  • CLIA Number: 11D2031487
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-19-2027

About PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA

This page provides the complete NPI Profile along with additional information for Pediatric Endocrine Specialists Of Georgia, a pediatrician established in Duluth, Georgia operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1366721706 assigned on August 2011. The practitioner's primary taxonomy code is 2080P0205X with license number 60045 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Paul Jerome Bernard Md (President)

NPI
1366721706
Provider Name
PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA
Entity Type
Organization
Location Address
10700 MEDLOCK BRIDGE RD SUITE 102 DULUTH, GA 30097
Location Phone
(678) 691-5351
Location Fax
(770) 685-1241
Mailing Address
10700 MEDLOCK BRIDGE RD SUITE 102 DULUTH, GA 30097
Mailing Phone
(678) 691-5351
Mailing Fax
(770) 685-1241
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2011
Last Update Date
03-30-2012
Code Navigator

A pediatrician like Pediatric Endocrine Specialists Of Georgia is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
Allopathic & Osteopathic Physicians
License No.
60045
License State
GA
Taxonomy Description
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Thrive Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAUL JEROME BERNARD MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 374-1646

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2031487
Facility Type
Physician Office
Certificate Effective Date
October 20, 2025
Certificate Expiration Date
October 19, 2027
Laboratory Director
PAUL J. BERNARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Endocrine Specialists Of Georgia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366721706, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 4 + 2 + 2 + 7 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1366721706.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physician Assistant
10700 MEDLOCK BRIDGE RD, SUITE 102
DULUTH, GA 30097
Allergy & Immunology
10700 MEDLOCK BRIDGE RD, SUITE 102
DULUTH, GA 30097
Dentist (General Practice)
10700 MEDLOCK BRIDGE RD, SUITE 202
JOHNS CREEK, GA 30097
Clinic/Center (Ambulatory Surgical)
10700 MEDLOCK BRIDGE RD, SUITE 101
JOHNS CREEK, GA 30097
Pediatrics (Pediatric Endocrinology)
10700 MEDLOCK BRIDGE RD, SUITE 102
DULUTH, GA 30097
Urology
10700 MEDLOCK BRIDGE RD, SUITE 204
DULUTH, GA 30097
Clinic/Center (Ambulatory Surgical)
10700 MEDLOCK BRIDGE RD, SUITE 101
JOHNS CREEK, GA 30097
Physical Therapist
10700 MEDLOCK BRIDGE RD, SUITE 105
DULUTH, GA 30097
Allergy & Immunology (Allergy)
10700 MEDLOCK BRIDGE RD, SUITE 102
DULUTH, GA 30097
Physical Therapist
10700 MEDLOCK BRIDGE RD, SUITE 105
DULUTH, GA 30097
Specialist
10700 MEDLOCK BRIDGE RD, SUITE 204
DULUTH, GA 30097
Dentist (General Practice)
10700 MEDLOCK BRIDGE RD, SUITE 202
JOHNS CREEK, GA 30097
Physical Therapist
10700 MEDLOCK BRIDGE RD, SUITE 105
JOHNS CREEK, GA 30097
Pediatrics
10700 MEDLOCK BRIDGE RD, STE 104
DULUTH, GA 30097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366721706, enumerated as an "organization" on August 16, 2011.

The provider is located at 10700 MEDLOCK BRIDGE RD SUITE 102 DULUTH, GA 30097 and the phone number is (678) 691-5351.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.