Active NPI
MPPG, Inc.
Doing business as Memorial Health Richmond Hill
- Internal Medicine Physician
- Richmond Hill, GA
National Provider Identifier
1891861548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MPPG, INC.
- Doing business as
- Memorial Health Richmond Hill
- Practice address
- 3776 US Highway 17
Richmond Hill, GA 31324-3378 - Phone
- (912) 350-7020
- Fax
- (912) 459-0064
- NPI assigned
- Nov 27, 2006
- 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
- Ms. Sebrena Holmes Gibson
- Title
- Provider Enrollment Coordinator
- Phone
- (912) 350-9335
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3776 US Highway 17
Richmond Hill, GA 31324-3378
Mailing address
PO Box 102032
Atlanta, GA 30368-2032
Phone (912) 756-2292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000031676A | Medicaid | GA | |
| CH5121 | Other | GA | RAILROAD MEDICARE GROUP |
| 085001150G | Other | GA | GBHC |
Other names 1
- Memorial Health Richmond Hill
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2157902 | Memorial HLTH Univ Phys Womens Care-Richmond Hill | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- MPPG Inc
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Savannah Gynecologic Oncology
- Gynecologic Oncology Physician
- Savannah, GA
- NPI 1760559777
-
dba Cardiovascular & Thoracic Surgery Association
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Savannah, GA
- NPI 1770644841
-
dba Internal Medicine Department, Inc.
- Internal Medicine Physician
- Savannah, GA
- NPI 1770650673
-
dba Savannah Vascular Surgery, Inc.
- Vascular Surgery Physician
- Statesboro, GA
- NPI 1770650988
-
dba Savannah Reproductive Specialist
- Reproductive Endocrinology Physician
- Savannah, GA
- NPI 1780751602
-
dba Memorial Health Family Practice
- Family Medicine Physician
- Savannah, GA
- NPI 1811057250
-
dba Surgical Specialists of Savannah
- Colon & Rectal Surgery Physician
- Savannah, GA
- NPI 1851468862
-
dba Surgical Specialist of Savannah
- Colon & Rectal Surgery Physician
- Hinesville, GA
- NPI 1861569097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466380800000",
"number": "1891861548",
"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": "912-756-2292",
"fax_number": "912-756-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3776 US HIGHWAY 17",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243378",
"telephone_number": "912-350-7020",
"fax_number": "912-459-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPPG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2016-06-20",
"status": "A",
"authorized_official_last_name": "HOLMES GIBSON",
"authorized_official_first_name": "SEBRENA",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
"authorized_official_telephone_number": "912-350-9335",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000031676A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CH5121",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBHC",
"identifier": "085001150G",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Health Richmond Hill",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Richmond Hill, GA
- Rebeca Morra
- Casey Allen Morrow
- Shiloh Storm Moskowitz
- MPPG, Inc. (Provident OB/GYN Associates)
- MPPG, Inc. (Surgical Specialists of Savannah)
- MPPG, Inc. (Georgia Ear Institute, Inc.)
- Jacqueline Mullet, M.A. CCC-SLP
- Jameakia Jelise Murray
- My Hearing Aid Place, LLC
- My Hearing Centers Holding Inc. (Elite Hearing Centers of America)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.