Medlock Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEDLOCK PEDIATRICS PC

Practice address

3497 Duluth Park Lane
Duluth, GA 30096

Phone

(770) 813-9775

Fax

(770) 813-8976

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria A Batlle, MDNPI 1508812728

Title

Doctor

Phone

(770) 813-9775

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Batlle, MD

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1508812728
  NPD (past) Authorized official
• Kathryn M Benson, MD

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1205886074
  NPD (past)
• Katherine Olivia Morris, CPNP

  • Pediatric Nurse Practitioner
  • Duluth, GA
  • NPI 1619396132
  NPD (past)
• Sandra Sullivan Tyler, PAC

  • Medical Physician Assistant
  • Suwanee, GA
  • NPI 1588963490
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053416669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 DULUTH PARK LANE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-813-9775",
            "fax_number": "770-813-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 DULUTH PARK LANE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-813-9775",
            "fax_number": "770-813-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLOCK PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATLLE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-813-9775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000772G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Aid Supply House Inc
• Medical Software, LLC
• Medical Treatment Centers of America, Inc
• Sherwina L Medina
• Medinest LLC.
• Medtranspo LLC Dba Virgin Hair Bar (The Virgin Hair Bar)
• Ashley Elizabeth Mehl, M.D.
• Mel Optical LLC (My EyeLab)
• Jonathan Melton Jr., LMT
• Nathina Scarlett Melton, PA-C

• Pediatrics Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.