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Medlock Surgical Center LLC

Exclusive Provider Organization in Johns Creek, GA · enumerated 2010 · authorized official Philip Macon, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063721785

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Registry record

Entity type Organization (Type 2)
Legal business name Medlock Surgical Center LLC
Practice address 10700 Medlock Bridge Rd Ste 101, Johns Creek, GA, 30097
Phone (770) 455-4600
Enumeration date Sep 29, 2010
Last updated in NPPES Sep 29, 2010

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License 11414 (GA) Primary

Authorized official

Name Philip Macon
Title Owner
Phone (770) 455-4600

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-09-29. Verify at npiregistry.cms.hhs.gov.
Where is Medlock Surgical Center LLC located?
The practice location on file with NPPES is in Johns Creek, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-29.