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MED STOP FAMILY PRACTICE LLC
NPI 1073123709
Family Medicine in Sandersville, GA

Active since August 06, 2020CLIA 11D2204116 · Waiver
106 W 2ND AVE, SANDERSVILLE, GA 31082(478) 412-2105(706) 432-1620 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 11, 2023, Aug 10, 2020, Aug 6, 2020 (3 updates tracked since 2020).

About Med Stop Family Practice Llc NPPES

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

MED STOP FAMILY PRACTICE LLC (NPI 1073123709) is a healthcare organization registered as a family medicine in Sandersville, Georgia and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Patti Lorri Marat, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1073123709
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMED STOP FAMILY PRACTICE LLC
Location Address106 W 2ND AVESandersville, GA 31082-9204
Mailing Address106 W 2nd AveSandersville, GA 31082-9204 · (478) 412-2105 · Fax (706) 432-1620
Phone(478) 412-2105
Fax(706) 432-1620
Organization SubpartNo
Authorized OfficialPatti Lorri MaratMember/owner · (478) 412-2105
Enumeration DateAugust 6, 2020
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1073123709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
106 W 2ND AVE, Sandersville, GA 31082
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Other Identifiers 1

Medicaid003244347AGA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Med Stop Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Med Stop Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patti Marat, RN MSN APRN NP-C
Nurse Practitioner
NPI 1134392913
106 W 2ND AVE
Sandersville, GA 31082
(478) 412-2105
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D2204116

Med Stop Family Practice LLC · Sandersville, GA
Active · expires Dec 7, 2026
CLIA Number11D2204116
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorPatti L. Marat
Laboratory Phone(478) 412-2105
Laboratory LocationMed Stop Family Practice LLC106 West 2nd Avenue, Sandersville, GA 31082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Med Stop Family Practice LLC's NPI number?

The NPI number for Med Stop Family Practice LLC is 1073123709. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Med Stop Family Practice LLC located?

Med Stop Family Practice LLC is located at 106 W 2nd Ave, Sandersville, GA 31082. The listed phone number is (478) 412-2105.

What is Med Stop Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Med Stop Family Practice LLC enrolled in Medicare?

Yes. Med Stop Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Med Stop Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Med Stop Family Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Med Stop Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2204116) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Med Stop Family Practice LLC was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.