MPPG, INC.


Address: 200 Maple Drive, Vidalia, GA 30474
Phone: 9123505961

MPPG, INC. (NPI# 1174691067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174691067
Entity Type Organization
Organization Name MPPG, INC.
Other Organization Name SAVANNAH VASCULAR SURGERY, INC.
Practice Address 200 Maple Drive
Vidalia
GA 30474
Mailing Address Po Box 102032
Atlanta
GA 30368-2032
Practice Telephone 9123505961
Practice Fax Number 9123505942
Mailing Telephone 9123505961
Mailing Fax Number 9123505942
Enumeration Date 2006-12-01
Last Update Date 2011-06-01
Authorized Official Name ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
Authorized Official Telephone 9123509335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Savannah Vascular Surgery, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669602280 Mppg, Inc. Obstetrics & Gynecology 1004 Memorial Ln, Suite 500, Savannah, GA 31410-1254 2009-07-16
1710041587 Mppg, Inc. Pediatrics 512b South Main Street, Hinesville, GA 31313 2006-12-19
1871653469 Mppg, Inc. Internal Medicine 4451 Paulsen Street, Savannah, GA 31405 2006-12-12
1588723266 Mppg, Inc. Family Medicine 1001 Memorial Lane, Savannah, GA 31410 2006-12-08
1811057250 Mppg, Inc. Family Medicine 1107 East 66th Street, Savannah, GA 31404 2006-12-08
1467511949 Mppg, Inc. Family Medicine 14089 Abercorn Street, Savannah, GA 31419 2006-12-08
1790844389 Mppg, Inc. Internal Medicine 455 South Maine Street, Suite 203, Hinesville, GA 31313 2006-12-08
1508925454 Mppg, Inc. Family Medicine 105 Rocky Ford Road, Sylvania, GA 30467 2006-12-06
1891861548 Mppg, Inc. Family Medicine 3776 Us Highway 17, Richmond Hill, GA 31324-3378 2006-11-27
1033131172 Mppg, Inc. Internal Medicine 4731 Waters Ave, Savannah, GA 31404-6219 2006-07-25

Office Location

Street Address 200 MAPLE DRIVE
City VIDALIA
State GA
Zip Code 30474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639247414 Mppg, Inc. Surgery 200 Maple Drive, Vidalia, GA 30474 2006-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730655374 Abby Virginia Adams Speech-Language Pathologist 101 Harris Insustrial Blvd, Vidalia, GA 30474 2018-10-22
1467930156 Laurel Shiver Sapp Nurse Practitioner 1608 Meadows Ln, Vidalia, GA 30474 2018-08-03
1235658931 Mary Frances Andrews Nurse Practitioner 1608 Meadows Lane Suite 1, Vidalia, GA 30474 2017-09-13
1154714574 Georgia Eye Institute of The Southeast, LLC Optometrist 104 Andrews Street, Suite 112, Vidalia, GA 30474 2015-03-10
1790112571 Tattnall Hospital Company, LLC Surgery 1702-a Meadows Lane, Vidalia, GA 30474 2013-10-10
1801235312 Paul Anderson Youth Home, Inc. Substance Abuse Rehabilitation Facility 1603 Mcintosh Street, Vidalia, GA 30474 2013-06-18
1043591076 Kimberly Thigpen Evans Nurse Practitioner 621 East First Street, Unit B, Vidalia, GA 30474 2011-09-03
1154614360 Tattnall Hospital Company, LLC Family Medicine 1811 Edwina Drive, Vidalia, GA 30474 2011-05-20
1255586053 Vidalia Medical Partners Inc. Home Health 801 Mcnatt Street, Vidalia, GA 30474 2008-11-20
1154596419 Jill Nicole Lawrence Speech-Language Pathologist 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 2008-04-28
Find all providers in zip 30474

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356875637 Perfusion Vascular Vidalia LLC Surgery 107 Front St, Vidalia, LA 71373-2836 2017-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241265 Jennifer Ann Hales Surgery 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 2020-09-24
1902423387 Center for Vein Restoration Ga Corp Surgery 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 2020-07-01
1487133278 Usa Vascular Center of Decatur LLC Surgery 495 Winn Way Ste 230, Decatur, GA 30030-1736 2018-08-13
1841789914 Milner Vein and Vascular LLC Surgery 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 2018-05-04
1023517505 Antioch Vascular Center, LLC Surgery 9104 Middleground Road, Suite 2, Savannah, GA 31406 2018-02-09
1689012205 Daniel Joseph Badia Surgery 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 2013-06-05
1740507425 Christopher Ray Ramos Surgery 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 2010-04-21
1184879678 Rockdale Vascular and Thoracic Surgery, LLC Surgery 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 2008-11-25
1528218393 Vladimir Zahradnik Surgery 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 2008-09-29
1487819132 Yazan Duwayri Surgery Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 2008-07-22
Find all providers with the same taxonomy

Competitor

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City VIDALIA
Zip Code 30474

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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