Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Mikrut, MD

Individual provider Family Medicine Physician · NPI 1760530778

Elizabeth Mikrut, MD is an Internal Medicine in Loganville, Georgia. Qualified in 1977, 49 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
49
Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

902 Athens Hwy
Loganville, GA 30052-4904
Phone: (770) 554-5533
Fax: (770) 554-8129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29730 (GA)

Record details

NPI number1760530778
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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