MPPG, INC. (NPI# 1952642290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952642290 |
| Entity Type | Organization |
| Organization Name | MPPG, INC. |
| Other Organization Name | MEMORIAL URGENT CARE |
| Practice Address |
14089 Abercorn St Savannah GA 31419-1966 |
| Practice Telephone | 9123502121 |
| Practice Fax Number | 9123502145 |
| Mailing Telephone | 9123502121 |
| Mailing Fax Number | 9123502145 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MRS. ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 9123509335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CH5121 | 01 |
| GA | 300031676A | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Urgent Care | Doing Business As Name - Organization |
| 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 |
| 1174691067 | Mppg, Inc. | Radiology | 200 Maple Drive, Vidalia, GA 30474 | 2006-12-01 |
| 1891861548 | Mppg, Inc. | Family Medicine | 3776 Us Highway 17, Richmond Hill, GA 31324-3378 | 2006-11-27 |
| Street Address |
14089 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437181112 | Daniel Paul Decamp | Family Medicine | 14089 Abercorn St, Savannah, GA 31419-1966 | 2006-07-06 |
| 1871109017 | Stephanie Green | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2020-09-22 |
| 1811417454 | Theresa Hope Hill | Registered Nurse | 14089 Abercorn St, Savannah, GA 31419-1966 | 2017-06-25 |
| 1659776391 | Amy Craven Harrelson | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-10-23 |
| 1962817601 | Applecare Memorial Immediate Care Joint Venture LLC | Clinic/Center | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-06-20 |
| 1417296898 | Jennifer Boyd Bootle | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2013-02-05 |
| 1730316001 | Emily Ann Baise-shuman | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-06-15 |
| 1366684318 | Hayley Hasty Lesuer | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-04-06 |
| 1407098189 | Lindsay T Abernethy | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-03-27 |
| 1467691402 | Paula Suzanne Willis | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1164052189 | Privia Medical Group of Georgia LLC | Family Medicine | 340 Eisenhower Dr Ste 1200, Savannah, GA 31406-2675 | 2020-01-17 |
| 1093289431 | Mosaic Medical Center - Maryville | Family Medicine | 301 E Price Ave Ste A, Savannah, MO 64485-2482 | 2019-01-18 |
| 1841769718 | Regenerative Healthcare, LLC | Family Medicine | 329 Eisenhower Dr Ste D, Savannah, GA 31406-2695 | 2018-11-20 |
| 1588105142 | Hamzah Telemed, LLC | Family Medicine | 35 Barnard St Ste 300, Savannah, GA 31401-2515 | 2017-03-16 |
| 1033598479 | Erica Blaikie Young | Family Medicine | 51 Johnny Mercer Blvd. Cottage A-1, Savannah, GA 31410 | 2015-05-19 |
| 1770989048 | Global Health Delivery, Inc. | Family Medicine | 361 Commercial Dr Ste B, Savannah, GA 31406-3643 | 2014-11-13 |
| 1215273123 | John Marion Fillingim | Family Medicine | 716 E 52nd St, Savannah, GA 31405-3604 | 2012-12-20 |
| 1619236205 | David Medical Enterprises | Family Medicine | 3840 Waters Avenue, I Care Family Medicine Clinic, Savannah, GA 31404-6264 | 2012-05-16 |
| Find all providers in SAVANNAH | ||||
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| 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.