Medfast 2
Medfast 2 is a healthcare organization registered as Legal Medicine (M.D./D.O.) Physician in Waycross, GA, holding Type 2 (organization) NPI 1003857517 since 2006. The authorized official on file is Gerardo Klug, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003857517 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Medfast 2 |
| Practice address | 1405 ALICE ST, Waycross, GA, 31501 |
| Phone | 9122853157 |
| Fax | 9122832051 |
| Enumeration date | 2006-06-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Gerardo Klug |
|---|---|
| Title | President |
| Phone | 9122853157 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 209800000X | Legal Medicine (M.D./D.O.) Physician | Primary | 031778 | GA |
Copy-ready billing details
Provider: Medfast 2 NPI: 1003857517 Taxonomy: 209800000X (Legal Medicine (M.D./D.O.) Physician) Address: 1405 ALICE ST, Waycross, GA, 31501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1588658702 | Warren Theis | Individual | General Practice Physician | Waycross, GA |
| 1205878600 | Gerardo Klug | Individual | Legal Medicine (M.D./D.O.) Physician | Waycross, GA |
| 1245276989 | Cheryl Klug | Individual | Legal Medicine (M.D./D.O.) Physician | Waycross, GA |
| 1538367149 | Coastal Care Inc | Organization | Primary Care Clinic/Center | Waycross, GA |
| 1154794857 | Crh Physician Practices LLC | Organization | Surgery Physician | Waycross, GA |
Verify this record
Cross-check NPI 1003857517 against the authoritative CMS record: view Medfast 2 on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Medfast 2?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.