MPPG, INC. (NPI# 1669602280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 Name | Type Code |
---|---|
Provident OB/GYN Associates | Doing Business As Name - Organization |
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 |
Street Address |
1004 MEMORIAL LN SUITE 500 |
City | SAVANNAH |
State | GA |
Zip Code | 31410-1254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437657905 | Andrea Benford | Nurse Practitioner | 1004 Memorial Ln, Savannah, GA 31410-1254 | 2018-01-30 |
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 Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
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. |
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 |
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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.