Mppg, Inc.
Mppg, Inc. is a healthcare organization registered as Emergency Medicine Physician in Pooler, GA, holding Type 2 (organization) NPI 1396086062 since 2013. The authorized official on file is Robin Maddox, Provider Enrollment Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396086062 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mppg, Inc. |
| Other name | <Unavail> |
| Practice address | 110 MEDICAL PARK DR, Pooler, GA, 31322 |
| Phone | 9217481515 |
| Fax | 9127487707 |
| Enumeration date | 2013-03-06 |
| Last updated in NPPES | 2014-05-13 |
Authorized official
| Name | Robin Maddox |
|---|---|
| Title | Provider Enrollment Coordinator |
| Phone | 9123509335 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 208D00000X | General Practice Physician | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003167A | Medicaid | GA | — |
| CH5121 | Other | GA | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Mppg, Inc. NPI: 1396086062 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 110 MEDICAL PARK DR, Pooler, GA, 31322
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366532764 | Quick Rx Drugs Inc | Organization | Community/Retail Pharmacy | Pooler, GA |
| 1083782189 | Memorial Health Urgentone, Inc. | Organization | Emergency Medicine Physician | Pooler, GA |
| 1053528984 | Jimmy Taylor | Individual | Pharmacist | Pooler, GA |
| 1154716397 | Holly Kincaid | Individual | Pharmacist | Pooler, GA |
| 1568124352 | Julianna Parish | Individual | Pharmacist | Pooler, GA |
| 1700543600 | Jenny Schmucker | Individual | Pharmacist | Pooler, GA |
Verify this record
Cross-check NPI 1396086062 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
Where is Mppg, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-05-13.