M.G.T RN LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

M.G.T RN LLC

Practice address

7117 E Peralta Cir
Mesa, AZ 85212-9825

Phone

(480) 430-0721

NPI assigned

Feb 9, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jameelah Wilson, FNPNPI 1578939682

Title

Owner

Phone

(480) 430-0721

Specialties & licenses 1

Addresses

Other names 1

• MGT MD at Home Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jameelah Wilson, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1578939682
  Medicare reassignment Care Compare group NPD Authorized official
• Tandra A Garvin, NP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1881140259
  Medicare reassignment Care Compare group NPD
• Mansoor Jatoi, DO

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1922366772
  Medicare reassignment Care Compare group NPD
• Norbert N Mwangi, FNP

  • Family Nurse Practitioner
  • Laveen, AZ
  • NPI 1184277139

  Single Specialty

  Medicare reassignment NPD
• Miranda Gamgah Njante, APRN, FNP-PMHNP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1649884065

  Family Medicine

  Medicare reassignment NPD
• Carolyne W Munge, PMHNP,FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1295445112
  NPD (past)

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1003448952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 E SOUTHERN AVE UNIT 6091",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852165005",
            "telephone_number": "480-430-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 E PERALTA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129825",
            "telephone_number": "480-430-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G.T RN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMEELAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-430-0721",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGT MD at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.