MED FAST PC
NPI 1487849857
Clinic/Center - Primary Care in Loganville, GA

Active since September 10, 2007CLIA 11D0941658 · Waiver
902 ATHENS HWY, LOGANVILLE, GA 30052(770) 554-5533(770) 554-8129 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Med Fast Pc NPPES

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

MED FAST PC (NPI 1487849857) is a healthcare organization registered as a primary care in Loganville, Georgia and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Elizabeth Mikrut, President, as its authorized official.

NPPES Registry Identity

NPI1487849857
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMED FAST PC
Location Address902 ATHENS HWYLoganville, GA 30052-4904
Mailing Address902 Athens HwyLoganville, GA 30052-4904 · (770) 554-5533 · Fax (770) 554-8129
Fax(770) 554-8129
Organization SubpartNo
Authorized OfficialElizabeth MikrutPresident · (770) 554-5533
Enumeration DateSeptember 10, 2007
Last NPPES UpdateSeptember 21, 2007
NPI 1487849857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 29730
902 ATHENS HWY, Loganville, GA 30052

Other Identifiers 1

OtherGRP6328GA · Medicare Group

Accepted Insurance

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 11D0941658

Med Fast PC · Loganville, GA
Active · expires Mar 1, 2028
CLIA Number11D0941658
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorElizabeth Mikrut MD
Laboratory Phone(770) 554-5533
Laboratory LocationMed Fast PC902 Athens Highway, Loganville, GA 30052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
902 ATHENS HWY
LOGANVILLE, GA 30052
Family Medicine
902 ATHENS HWY
LOGANVILLE, GA 30052

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 Fast PC's NPI number?

The NPI number for Med Fast PC is 1487849857. It was assigned to this organization in the NPPES registry on September 10, 2007.

Where is Med Fast PC located?

Med Fast PC is located at 902 Athens Hwy, Loganville, GA 30052. The listed phone number is (770) 554-5533.

What is Med Fast PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Med Fast PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0941658) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med Fast PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Med Fast PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Med Fast PC was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.