P Praxis·MD
● Active Type 2 · Organization

Medlock Surgical Center Llc

Exclusive Provider Organization·Johns Creek, GA· NPI 1063721785 · Enumerated 2010 · 15 years on NPI
Medlock Surgical Center Llc is 1 of 62 exclusive provider organization organizations in Georgia.
NPI age
15 years
Enumerated 2010-09-29
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
MacOn
Owner
Last NPPES update
2010-09-29
Source: monthly bulk 2026-05

How this organization compares

Across 62 active exclusive provider organization providers in Georgia.

NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-09Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
10700 Medlock Bridge Rd Ste 101
Johns Creek, GA 300978455
📞 7704554600
Mailing address
10700 Medlock Bridge Rd Ste 101
Johns Creek, GA 300978455
📞 7704554600

Authorized official

Philip F MacOn, M.D.
Owner
📞 7704554600

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Exclusive Provider Organization Primary
    (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
    GA license #11414 taxonomy 302F00000X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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