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

Q: What is Pediatric Endocrine Specialists Of Georgia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since August 16, 2011CLIA 11D2031487 · Waiver

10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097(678) 691-5351(770) 685-1241 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Endocrine Specialists Of Georgia NPPES

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

PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA (NPI 1366721706) is a healthcare organization registered as a pediatric endocrinology in Duluth, Georgia and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Paul Jerome Bernard, President, as its authorized official.

NPPES Registry Identity

NPI1366721706

Entity TypeOrganization

Primary Taxonomy2080P0205X

Legal Business NamePEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA

Location Address10700 MEDLOCK BRIDGE RD, SUITE 102Duluth, GA 30097-8456

Mailing Address10700 Medlock Bridge Rd, Suite 102Duluth, GA 30097-8456 · (678) 691-5351 · Fax (770) 685-1241

Phone(678) 691-5351

Fax(770) 685-1241

Organization SubpartNo

Authorized OfficialPaul Jerome BernardPresident · (314) 374-1646

Enumeration DateAugust 16, 2011

Last NPPES UpdateMarch 30, 2012

✔ NPI 1366721706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in GA · 60045

Definition

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.

10700 MEDLOCK BRIDGE RD, Duluth, GA 30097

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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 11D2031487

Pediatric Endocrine Specialists Of Georgia · Duluth, GA

Active · expires Oct 19, 2027

CLIA Number11D2031487

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2025

Certificate Expiration DateOctober 19, 2027

Laboratory DirectorPaul J. Bernard

Laboratory Phone(678) 691-5351

Laboratory LocationPediatric Endocrine Specialists Of Georgia10700 Medlock Bridge Road, Suite 102, Duluth, GA 30097

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 14

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

MARGARET SUTCLIFFE

Physical Therapist

10700 MEDLOCK BRIDGE RD, SUITE 105
DULUTH, GA 30097

Gwinnett County (770) 623-0105

PEDIATRIC ASSOCIATES OF NORTH ATLANTA, P.C.

Pediatrics

10700 MEDLOCK BRIDGE RD, STE 104
DULUTH, GA 30097

Gwinnett County (770) 476-9885

EHCA DIAGNOSTICS, LLC

Clinic/Center (Ambulatory Surgical)

10700 MEDLOCK BRIDGE RD, SUITE 101
JOHNS CREEK, GA 30097

Gwinnett County (678) 957-9935

SHAWN A. WALLS, DDS, PC

Dentist (General Practice)

10700 MEDLOCK BRIDGE RD, SUITE 202
JOHNS CREEK, GA 30097

Gwinnett County (404) 444-8485

MRS. TIFFINY B COHEN PA-C

Physician Assistant

10700 MEDLOCK BRIDGE RD, SUITE 102
DULUTH, GA 30097

Gwinnett County (770) 497-0699

TRUE RESULTS GEORGIA

Specialist

10700 MEDLOCK BRIDGE RD, SUITE 204
DULUTH, GA 30097

Gwinnett County (214) 850-5377

EMORY JOHNS CREEK CARDIAC DIAGNOSTICS

Clinic/Center (Ambulatory Surgical)

10700 MEDLOCK BRIDGE RD, SUITE 101
JOHNS CREEK, GA 30097

Gwinnett County (678) 957-9935

CHRISTI MARIE THE PT, DPT

Physical Therapist

10700 MEDLOCK BRIDGE RD, SUITE 105
DULUTH, GA 30097

Gwinnett County (770) 623-0105

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 Pediatric Endocrine Specialists Of Georgia's NPI number?

The NPI number for Pediatric Endocrine Specialists Of Georgia is 1366721706. It was assigned to this organization in the NPPES registry on August 16, 2011.

Where is Pediatric Endocrine Specialists Of Georgia located?

Pediatric Endocrine Specialists Of Georgia is located at 10700 Medlock Bridge Rd Suite 102, Duluth, GA 30097. The listed phone number is (678) 691-5351.

What is Pediatric Endocrine Specialists Of Georgia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Does Pediatric Endocrine Specialists Of Georgia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2031487) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Endocrine Specialists Of Georgia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Pediatric Endocrine Specialists Of Georgia 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 Pediatric Endocrine Specialists Of Georgia was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.