MEDFAST 2 – Legal Medicine (M.D./D.O.) Physician, NPI 1003857517

MEDFAST 2 is a healthcare provider. based in Waycross, Georgia. specializing in Legal Medicine (M.D./D.O.) Physician. The organization holds a License No. 031778 (GA). The NPI Number for MEDFAST 2 is 1003857517

Main info

Organization
Name
MEDFAST 2
NPI
1003857517
Phone
(912) 285-3157
Address
1405 ALICE ST
Authorized Official
GERARDO A KLUG PRESIDENT M.D.
Enumeration Date
8 June 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MEDFAST 2

  • 1405, Alice Street, Waycross, Ware County, Georgia, 31501, United States

    WAYCROSS, GA 315014528

    Phone: (912) 285-3157

    Fax: (912) 283-2051

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31501)

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Reviews

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Frequently asked questions

What NPI should I save for MEDFAST 2?
Save NPI 1003857517 if you need a stable reference for MEDFAST 2.
Is MEDFAST 2 currently active in the NPI registry?
CMS-published data lists MEDFAST 2 as an active registrant.
What does MEDFAST 2 treat or focus on?
Patients typically see MEDFAST 2 under the specialty Legal Medicine (M.D./D.O.) Physician. Clinical services aligned with this taxonomy classification.
What location shows for MEDFAST 2?
We surface Waycross, Georgia for MEDFAST 2 based on available NPPES addresses.
What if Waycross, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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