Mppg, Inc.
Mppg, Inc. is a healthcare organization registered as Colon & Rectal Surgery Physician in Vidalia, GA, holding Type 2 (organization) NPI 1639247414 since 2006. The authorized official on file is Robin Maddox, Provider Enrollment Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639247414 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mppg, Inc. |
| Other name | <Unavail> |
| Practice address | 200 MAPLE DRIVE, Vidalia, GA, 30474 |
| Phone | 9125379851 |
| Fax | 9125379843 |
| Enumeration date | 2006-12-01 |
| Last updated in NPPES | 2012-08-15 |
Authorized official
| Name | Robin Maddox |
|---|---|
| Title | Provider Enrollment Coordinator |
| Phone | 9123509335 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | Primary | — | — |
Copy-ready billing details
Provider: Mppg, Inc. NPI: 1639247414 Taxonomy: 208C00000X (Colon & Rectal Surgery Physician) Address: 200 MAPLE DRIVE, Vidalia, GA, 30474
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174691067 | Mppg, Inc. | Organization | Vascular Surgery Physician | Vidalia, GA |
Verify this record
Cross-check NPI 1639247414 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 is the NPI number for Mppg, Inc.?
Who is the authorized official for Mppg, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-15.