MPPG, INC.


Address: 1004 Memorial Ln, Suite 500, Savannah, GA 31410-1254
Phone: 9128974604

MPPG, INC. (NPI# 1669602280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669602280
Entity Type Organization
Organization Name MPPG, INC.
Other Organization Name PROVIDENT OB/GYN ASSOCIATES
Practice Address 1004 Memorial Ln
Suite 500
Savannah
GA 31410-1254
Mailing Address Po Box 102032
Atlanta
GA 30368-2032
Practice Telephone 9128974604
Practice Fax Number 9128974608
Mailing Telephone 9128974604
Mailing Fax Number 9128974608
Enumeration Date 2009-07-16
Last Update Date 2011-06-01
Authorized Official Name MRS. ROBIN J MADDOX (PROVIDER ENROLLMENT COORDINATOR)
Authorized Official Telephone 9123509335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Provident OB/GYN Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710041587 Mppg, Inc. Pediatrics 512b South Main Street, Hinesville, GA 31313 2006-12-19
1871653469 Mppg, Inc. Internal Medicine 4451 Paulsen Street, Savannah, GA 31405 2006-12-12
1588723266 Mppg, Inc. Family Medicine 1001 Memorial Lane, Savannah, GA 31410 2006-12-08
1811057250 Mppg, Inc. Family Medicine 1107 East 66th Street, Savannah, GA 31404 2006-12-08
1467511949 Mppg, Inc. Family Medicine 14089 Abercorn Street, Savannah, GA 31419 2006-12-08
1790844389 Mppg, Inc. Internal Medicine 455 South Maine Street, Suite 203, Hinesville, GA 31313 2006-12-08
1508925454 Mppg, Inc. Family Medicine 105 Rocky Ford Road, Sylvania, GA 30467 2006-12-06
1174691067 Mppg, Inc. Radiology 200 Maple Drive, Vidalia, GA 30474 2006-12-01
1891861548 Mppg, Inc. Family Medicine 3776 Us Highway 17, Richmond Hill, GA 31324-3378 2006-11-27
1033131172 Mppg, Inc. Internal Medicine 4731 Waters Ave, Savannah, GA 31404-6219 2006-07-25

Office Location

Street Address 1004 MEMORIAL LN
SUITE 500
City SAVANNAH
State GA
Zip Code 31410-1254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437657905 Andrea Benford Nurse Practitioner 1004 Memorial Ln, Savannah, GA 31410-1254 2018-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144708249 Madison Allee Horton Physical Therapist 461 Johnny Mercer Blvd Ste C2, Savannah, GA 31410 2018-07-31
1740706449 Stacy Jane Slaght General Practice 151 Three Mast Ct, Savannah, GA 31410 2017-08-15
1851816631 Mary Elizabeth Pennington Physical Therapy Assistant 702 Leaning Oaks Dr, Savannah, GA 31410 2017-08-14
1568901353 Islands Chiropractic Clinic Health Maintenance Organization 461 Johnny Mercer Blvd. Suite3, Savannah, GA 31410 2017-02-14
1033598479 Erica Blaikie Young Family Medicine 51 Johnny Mercer Blvd. Cottage A-1, Savannah, GA 31410 2015-05-19
1013257344 Stephanie Denise Tootle Obstetrics & Gynecology 1004 Memorial Ln Ste 500, Savannah, GA 31410 2013-02-23
1275837791 Johane Cam Harrigan Clinic/Center 124 Ropemaker Lane, 124 Rpemaker Lane, Savannah, GA 31410 2010-12-23
1497085385 Kelli Suzanne Littlefield Counselor 100 Blue Fin Cir Ste 4, Savannah, GA 31410 2009-12-28
1720111040 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 148 Sea Palms Road, Savannah, GA 31410 2007-03-14
1265576201 Whitemarsh Chiropractic Center, PC Chiropractor 115-a Charlotte Road, Savannah, GA 31410 2007-02-15
Find all providers in zip 31410

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013257344 Stephanie Denise Tootle Obstetrics & Gynecology 1004 Memorial Ln Ste 500, Savannah, GA 31410 2013-02-23
1033476692 Jessica Miller Mullinix Obstetrics & Gynecology 5354 Reynolds St Ste 518, Savannah, GA 31405 2012-04-19
1194989426 James D Smith Md PC Obstetrics & Gynecology 5354 Reynalds St, Suite 225, Savannah, GA 31405 2008-07-16
1427257484 Lisa M Semple, Do PC Obstetrics & Gynecology 5353 Reynolds St Ste 201, Savannah, GA 31405-6087 2007-07-11
1730268046 Michael Joseph Jackson Obstetrics & Gynecology 5311 Paulsen St, Savannah, GA 31405-4800 2006-11-06
1336225390 James Anthony Carr Obstetrics & Gynecology 5204 Paulsen St, Savannah, GA 31405-4704 2006-10-31
1548358328 Gregg Parker Obstetrics & Gynecology 910 E 70th St, Savannah, GA 31405-4815 2006-10-10
1972600021 Ilan D Bornstein, M.d., L L C Obstetrics & Gynecology 4750 Waters Ave Ste 210, Savannah, GA 31404-6268 2006-09-20
1386740249 Suresh I Persad-maharaj Obstetrics & Gynecology 361 B Commercial Dr., Savannah, GA 31406-3643 2006-09-16
1689779589 Ashmed Vazquez Obstetrics & Gynecology 5354 Reynolds St Ste 304, Savannah, GA 31405-6010 2006-09-14
Find all providers in SAVANNAH

Competitor

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City SAVANNAH
Zip Code 31410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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