Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leia M Medlock, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1659531077

Leia M Medlock, MD is an Obstetrics/Gynecology in Laurel, Maryland. Graduated from State University of New York Downstate Medical Center in 2008, 18 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Pennsylvania.

Years since qualifying
18
Trained at
State University of New York Downstate Medical Center
Licensed in
MD, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Main St
Laurel, MD 20707-4114
Phone: (240) 554-5505
Fax: (240) 280-7472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence D0074550 (MD)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MT193601 (PA)

Record details

NPI number1659531077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address8630m Guilford Rd, Ste 288, Columbia, MD 21046-1404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2008 (18 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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