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Mppg, Inc.

Emergency Medicine Physician in Pooler, GA · enumerated 2013 · authorized official Robin Maddox, Provider Enrollment Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396086062

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Registry record

Entity type Organization (Type 2)
Legal business name Mppg, Inc.
Other name <Unavail>
Practice address 110 Medical Park Dr, Pooler, GA, 31322
Fax (912) 748-7707
Enumeration date Mar 6, 2013
Last updated in NPPES May 13, 2014

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Robin Maddox
Title Provider Enrollment Coordinator

Other identifiers

Identifier Type State Issuer
30003167A Medicaid GA -
CH5121 Other GA RAILROAD MEDICARE

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.

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Frequently asked questions

Where is Mppg, Inc. located?
The practice location on file with NPPES is in Pooler, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-05-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-13.