MPPG INC. NPI 1932253762

NPI Information

  • NPI: 1932253762
  • Provider Name: MPPG, INC.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • :
  • Address: 4700 WATERS AVE
    SUITE 403
    SAVANNAH, GA
    ZIP 31404
  • Phone: (912) 350-5961

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NPI Details

MPPG, INC. is a surgical physician assistant in Savannah, GA. MPPG, INC. NPI is 1932253762. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4700 WATERS AVE
SUITE 403
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-5961
Fax: (912) 350-5942

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
2363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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