Med Fast, P. C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101631 Issued in NC

Legal business name

MED FAST, P. C.

Practice address

605 W Cumberland St
Dunn, NC 28334-4823

Phone

(910) 891-1391

Fax

(910) 891-1687

NPI assigned

Oct 11, 2006

Last updated

Aug 18, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda D Strickland

Title

Office Manager

Phone

(910) 891-1391

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Christopher Moore, MD

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1083685002
  Medicare reassignment NPD
• Rodolfo C Reyes, MD

  • Internal Medicine Physician
  • Lillington, NC
  • NPI 1184653834
  Medicare reassignment NPD
• Harold King Jr., PA

  • Physician Assistant
  • Smithfield, NC
  • NPI 1649224304
  Medicare reassignment
• Michael Allen Knott, MPAC

  • Physician Assistant
  • Dunn, NC
  • NPI 1316151715
  Medicare reassignment
• Allyson Graham Lee, PA-C

  • Physician Assistant
  • Dunn, NC
  • NPI 1639240369
  Medicare reassignment
• Muryel Ward Vary, PA-C

  • Physician Assistant
  • New Bern, NC
  • NPI 1881086742
  Medicare reassignment
• Annika Knott Burton, PA-C

  • Physician Assistant
  • Dunn, NC
  • NPI 1982416269
  NPD
• Nathalie Julienne Grippon, PA-C

  • Physician Assistant
  • Dunn, NC
  • NPI 1083032197
  NPD
• Tajuana D Lordeus, P.A.

  • Physician Assistant
  • Durham, NC
  • NPI 1689731788
  NPD
• Jenna Whittington Ammons, PA

  • Physician Assistant
  • Dunn, NC
  • NPI 1932753183
  NPD (past)
• Jose F Mahiquez, PA

  • Physician Assistant
  • Dunn, NC
  • NPI 1528045234
  NPD (past)
• Mary Mahiquez Sinclair, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jacksonville, NC
  • NPI 1770063604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1285722215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275040867",
            "telephone_number": "910-891-1391",
            "fax_number": "910-891-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344823",
            "telephone_number": "910-891-1391",
            "fax_number": "910-891-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED FAST, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-891-1391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102592",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102070",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M McLean
• Heather Riddle McLeod, PHARM.D., CPP
• Ulysses McNeill, LPC
• Shermin F McShine
• Meagan M. Parker, DMD, PLLC (Parker Family Dentistry)
• Med-Trans Corporation
• Everett Blase Melcher, PT, DPT
• Joann H Melton
• Natalie Mendez, NP
• Merchant Health Systems, Inc. (Affinity Health Services)

• Physician Assistant in Dunn, NC
• Providers in Dunn, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.