| Mppg, Inc. | |
|
4731 Waters Ave Savannah GA 31404-6219 | |
| (912) 350-4905 | |
| (912) 350-4955 |
| Full Name | Mppg, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4731 Waters Ave, Savannah, Georgia |
| Authorized Official Name and Position | Tammy Hash (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9123509335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mppg, Inc. Po Box 102032 Atlanta GA 30368-2032 Ph: (912) 350-4905 | Mppg, Inc. 4731 Waters Ave Savannah GA 31404-6219 Ph: (912) 350-4905 |
| NPI Number | 1033131172 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 7012829351 |
|---|---|
| Medicare Enrollment ID | O20031104000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033131172 | NPI | - | NPPES |
| 300031676A | Medicaid | GA |
| Provider Name | Luann Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659399566 PECOS PAC ID: 6204729262 Enrollment ID: I20040206000013 |
| Provider Name | Angela D Chumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508802737 PECOS PAC ID: 9133150501 Enrollment ID: I20050825000337 |
| Provider Name | Wilfreida L. Leaphart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366481244 PECOS PAC ID: 2860529146 Enrollment ID: I20100419000084 |
| Provider Name | Laura A. Vose |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366432965 PECOS PAC ID: 7012953664 Enrollment ID: I20100528000051 |
| Provider Name | Catie M. Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093863516 PECOS PAC ID: 2860532793 Enrollment ID: I20141219000198 |
| Provider Name | Rana E Hildebrandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487980710 PECOS PAC ID: 5294913299 Enrollment ID: I20150616002177 |
| Provider Name | Tracy O. Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383876 PECOS PAC ID: 7214247394 Enrollment ID: I20161101000644 |
| Provider Name | Anthony B. Royek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013956903 PECOS PAC ID: 9638212533 Enrollment ID: I20161102000374 |
| Provider Name | Heather H Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891227351 PECOS PAC ID: 6507133220 Enrollment ID: I20170601000698 |
| Provider Name | William E Burak |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518159417 PECOS PAC ID: 7315845518 Enrollment ID: I20170811002005 |
Memorial Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Union Mission, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-495-8887 Fax: 912-495-8889 | |
Curtis V. Cooper Primary Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4451 Paulsen St, Savannah, GA 31405 Phone: 912-527-1005 Fax: 912-527-1126 | |
Dynamic Loop Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bull St # 200, Savannah, GA 31401 Phone: 470-332-5035 Fax: 888-977-3104 | |
Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405 Phone: 912-335-8934 Fax: 912-228-3046 | |
Memorial Health Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Memorial Health Hospitalists, Savannah, GA 31404 Phone: 912-350-2155 Fax: 912-350-2156 |