P Praxis·MD
● Active Type 2 · Organization

Med Fast Pc

Clinic/Center·Loganville, GA· NPI 1487849857 · Enumerated 2007 · 18 years on NPI
Med Fast Pc is 1 of 655 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2007-09-10
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mikrut
President
Last NPPES update
2007-09-21
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
902 Athens Hwy
Loganville, GA 300524904
📞 7705545533fax 7705548129
Mailing address
902 Athens Hwy
Loganville, GA 300524904
📞 7705545533fax 7705548129

Authorized official

Elizabeth Mikrut, MD
President
📞 7705545533

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #29730 taxonomy 261QP2300X

Identifiers

TypeValueNotes
01 (GA) GRP6328 MEDICARE GROUP

Practice context

Multi-provider organization. 2 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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