Mppg, Inc.
Mppg, Inc. is a healthcare organization registered as Vascular Surgery Physician in Vidalia, GA, holding Type 2 (organization) NPI 1174691067 since 2006. The authorized official on file is Robin Maddox, Provider Enrollment Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174691067 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mppg, Inc. |
| Other name | <Unavail> |
| Practice address | 200 MAPLE DRIVE, Vidalia, GA, 30474 |
| Phone | 9123505961 |
| Fax | 9123505942 |
| Enumeration date | 2006-12-01 |
| Last updated in NPPES | 2011-06-01 |
Authorized official
| Name | Robin Maddox |
|---|---|
| Title | Provider Enrollment Coordinator |
| Phone | 9123509335 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0204X | Vascular & Interventional Radiology Physician | Secondary | — | — |
| 2086S0129X | Vascular Surgery Physician | Primary | — | — |
Copy-ready billing details
Provider: Mppg, Inc. NPI: 1174691067 Taxonomy: 2086S0129X (Vascular Surgery Physician) Address: 200 MAPLE DRIVE, Vidalia, GA, 30474
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639247414 | Mppg, Inc. | Organization | Colon & Rectal Surgery Physician | Vidalia, GA |
Verify this record
Cross-check NPI 1174691067 against the authoritative CMS record: view Mppg, Inc. 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 Mppg, Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-06-01.