Active NPI
MPPG, Inc.
Doing business as Provident OB GYN Associates
- Obstetrics & Gynecology Physician
- Rincon, GA
National Provider Identifier
1255408407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MPPG, INC.
- Doing business as
- Provident OB GYN Associates
- Practice address
- 241 Silverwood Commercial Dr
Rincon, GA 31326-5164 - Phone
- (912) 350-5937
- Fax
- (912) 350-3483
- NPI assigned
- Nov 30, 2006
- Last updated
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin J. Maddox
- Title
- Provider Enrollment Coordinator
- Phone
- (912) 350-9335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
241 Silverwood Commercial Dr
Rincon, GA 31326-5164
Mailing address
PO Box 102032
Atlanta, GA 30368-2032
Phone (912) 350-5937
Other names 1
- Provident OB GYN Associates
National Provider Directory
National Provider Directory- Tax ID family
- MPPG Inc
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Savannah Vascular Surgery, Inc.
- Vascular Surgery Physician
- Vidalia, GA
- NPI 1174691067
-
dba Provident OB/GYN Associates
- Obstetrics & Gynecology Physician
- Richmond Hill, GA
- NPI 1245544519
-
dba Springfield Medical Associates
- Internal Medicine Physician
- Springfield, GA
- NPI 1346316957
-
dba University Pediatrics
- Pediatric Hematology & Oncology Physician
- Statesboro, GA
- NPI 1356418578
-
dba Savannah Center for Respiratory, Critical Care, and Sleep Medicine
- Pulmonary Disease Physician
- Savannah, GA
- NPI 1376610386
-
dba Savannah Perinatology Associates
- Maternal & Fetal Medicine Physician
- Brunswick, GA
- NPI 1396812582
Locations
241 Silverwood Commercial Dr
Rincon, GA 31326
Phone (912) 826-8800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1255408407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102032",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682032",
"telephone_number": "912-350-5937",
"fax_number": "912-350-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 SILVERWOOD COMMERCIAL DR",
"city": "RINCON",
"state": "GA",
"postal_code": "313265164",
"telephone_number": "912-350-5937",
"fax_number": "912-350-3483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPPG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "MADDOX",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
"authorized_official_telephone_number": "912-350-9335"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Provident OB GYN Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.