Active NPI
Geoffrey C. Mott
- Driver
- Saginaw, MI
National Provider Identifier
1669947768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- M300275108174
- Practice address
- 2700 W Genesee Ave
Saginaw, MI 48602-3723 - Phone
- (989) 799-1266
- Fax
- (989) 799-1548
- NPI assigned
- Oct 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | M300275108174 | MI | Primary |
Addresses
Primary practice location
2700 W Genesee Ave
Saginaw, MI 48602-3723
Mailing address
2700 W Genesee Ave
Saginaw, MI 48602-3723
Phone (989) 799-1266
Other practice location 1
2201 Deindorfer St
Saginaw, MI 48602-5023
Phone (989) 860-2526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M300275108174 | MI | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Lodge | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Saginaw, MI
- NPI 1679855498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1669947768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 W GENESEE AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023723",
"telephone_number": "989-799-1266",
"fax_number": "989-799-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W GENESEE AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023723",
"telephone_number": "989-799-1266",
"fax_number": "989-799-1548"
}
],
"practiceLocations": [
{
"address_1": "2201 Deindorfer St",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486025023",
"country_code": "US",
"telephone_number": "989-860-2526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTT",
"first_name": "GEOFFREY",
"middle_name": "C.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": "M300275108174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.