MEDILAG PEDIATRICS
NPI 1457565251
Pediatrics in Lilburn, GA

Active since May 10, 2007CLIA 11D1054420 · Waiver
3997 LAWRENCEVILLE HWY NW, STE 230, LILBURN, GA 30047(770) 935-0500(770) 935-0880 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medilag Pediatrics NPPES

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

MEDILAG PEDIATRICS (NPI 1457565251) is a healthcare organization registered as a pediatrics in Lilburn, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Babatunde I Onasanya, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457565251
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMEDILAG PEDIATRICS
Location Address3997 LAWRENCEVILLE HWY NW, STE 230Lilburn, GA 30047-2832
Mailing Address3997 Lawrenceville Hwy Nw, Ste 230Lilburn, GA 30047-2832 · (770) 935-0500 · Fax (770) 935-0880
Fax(770) 935-0880
Organization SubpartNo
Authorized OfficialBabatunde I OnasanyaCeo · (770) 935-0500
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1457565251 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.
3997 LAWRENCEVILLE HWY NW, Lilburn, GA 30047

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

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 11D1054420

Medilag Pediatrics PC · Lilburn, GA
Active · expires May 18, 2028
CLIA Number11D1054420
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorBabatunde Onasanya MD
Laboratory Phone(770) 935-0500
Laboratory LocationMedilag Pediatrics PC605 Beaver Ruin Road Suite B, Lilburn, GA 30047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
3997 LAWRENCEVILLE HWY NW, SUITE 210
LILBURN, GA 30047
Pediatrics
3997 LAWRENCEVILLE HWY NW, SUITE 230
LILBURN, GA 30047
Specialist
3997 LAWRENCEVILLE HWY NW, STE 230
LILBURN, GA 30047

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 Medilag Pediatrics's NPI number?

The NPI number for Medilag Pediatrics is 1457565251. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Medilag Pediatrics located?

Medilag Pediatrics is located at 3997 Lawrenceville Hwy NW Ste 230, Lilburn, GA 30047. The listed phone number is (770) 935-0500.

What is Medilag Pediatrics's specialty?

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

Does Medilag Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1054420) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medilag Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.