Mmg 1 PC
Mmg 1 PC is a healthcare organization registered as Nurse Practitioner in Southfield, MI, holding Type 2 (organization) NPI 1023037025 since 2006. The authorized official on file is Geoffrey Trivax, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023037025 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mmg 1 PC |
| Practice address | 28625 NORTHWESTERN HWY, SUITE 213, Southfield, MI, 48034 |
| Phone | 2483549666 |
| Fax | 2483543653 |
| Enumeration date | 2006-07-19 |
| Last updated in NPPES | 2021-05-24 |
Authorized official
| Name | Geoffrey Trivax |
|---|---|
| Title | President |
| Phone | 3135383099 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500F318990 | Other | MI | BLUE SHIELD GROUP |
Copy-ready billing details
Provider: Mmg 1 PC NPI: 1023037025 Taxonomy: 363L00000X (Nurse Practitioner) Address: 28625 NORTHWESTERN HWY, SUITE 213, Southfield, MI, 48034
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477543874 | Sidney Beck | Individual | Otolaryngology Physician | Southfield, MI |
| 1679557300 | Julie Finn | Individual | Internal Medicine Physician | Southfield, MI |
| 1861477432 | Harold Rodner | Individual | Internal Medicine Physician | Southfield, MI |
| 1801871470 | William Solomon | Individual | Internal Medicine Physician | Southfield, MI |
| 1922083591 | Jerome Rosenthal | Individual | Rheumatology Physician | Southfield, MI |
| 1164407730 | Geoffrey Trivax | Individual | Internal Medicine Physician | Southfield, MI |
| 1700861366 | Ronald Pelavin | Individual | Geriatric Medicine (Internal Medicine) Physician | Southfield, MI |
| 1518942176 | Arthur Powell | Individual | Internal Medicine Physician | Southfield, MI |
Verify this record
Cross-check NPI 1023037025 against the authoritative CMS record: view Mmg 1 PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mmg 1 PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-24.