MPPG, INC. (NPI# 1891861548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891861548 |
| Entity Type | Organization |
| Organization Name | MPPG, INC. |
| Other Organization Name | MEMORIAL HEALTH RICHMOND HILL |
| Practice Address |
3776 Us Highway 17 Richmond Hill GA 31324-3378 |
| Mailing Address |
Po Box 102032 Atlanta GA 30368-2032 |
| Practice Telephone | 9123507020 |
| Practice Fax Number | 9124590064 |
| Mailing Telephone | 9127562292 |
| Mailing Fax Number | 9127562289 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | MS. SEBRENA HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 9123509335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 3000031676A | 05 | |
| GA | GBHC | 085001150G | 01 |
| GA | RAILROAD MEDICARE GROUP | CH5121 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Health Richmond Hill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669602280 | Mppg, Inc. | Obstetrics & Gynecology | 1004 Memorial Ln, Suite 500, Savannah, GA 31410-1254 | 2009-07-16 |
| 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 |
| 1033131172 | Mppg, Inc. | Internal Medicine | 4731 Waters Ave, Savannah, GA 31404-6219 | 2006-07-25 |
| Street Address |
3776 US HIGHWAY 17 |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-3378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013371731 | Daniel Aaron Brody | Family Medicine | 3776 Us Highway 17, Richmond Hill, GA 31324-3378 | 2016-04-08 |
| 1841426707 | Kristina Nicole Johnson | Family Medicine | 3776 Us Highway 17, Richmond Hill, GA 31324 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538447438 | Jeannette Elizabeth Cano-landivar | Internal Medicine | 10119 Jamaica Ave, Richmond Hill, NY 11418-2008 | 2011-07-26 |
| 1386953735 | First Health Medical P.C. | Internal Medicine | 103-25 114th Street, Richmond Hill, NY 11419-1805 | 2010-10-04 |
| 1821239716 | Yousef Atalla Mahadin | Internal Medicine | 8740 117th St, Richmond Hill, NY 11418-2428 | 2009-03-23 |
| 1912152968 | Health East Medical PC | Internal Medicine | 8371 116th St Ste M1, Richmond Hill, NY 11418-3448 | 2008-11-18 |
| 1366507261 | Andres Francisco Urena | Internal Medicine | 10419 Lefferts Blvd, Richmond Hill, NY 11419 | 2006-12-22 |
| 1275607954 | Nuzhat Fatima Syed | Internal Medicine | 121-02 Hillside Avenue, Richmond Hill, NY 11418 | 2006-11-17 |
| 1215012901 | Altaf Khan | Internal Medicine | 104-37 Lefferts Blvd, Richmond Hill, NY 11419-2709 | 2006-10-25 |
| 1669576658 | Bhupinder Bir Singh | Internal Medicine | 10923 Jamaica Ave, Richmond Hill, NY 11418-2335 | 2006-09-11 |
| 1699885913 | Francesco Passarelli | Internal Medicine | 11110 Jamaica Ave, Richmond Hill, NY 11418-2322 | 2006-08-30 |
| 1538186325 | Rana Javed Suleman | Internal Medicine | 9173 111th St, Richmond Hill, NY 11418-3006 | 2006-07-16 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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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.