# MPPG, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Provident OB GYN Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255408407
- **Authorized official:** ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 241 SILVERWOOD COMMERCIAL DR, RINCON, GA 31326-5164
- **Practice address phone:** (912) 350-5937
- **Practice address fax:** (912) 350-3483
- **Mailing address:** PO BOX 102032, ATLANTA, GA 30368-2032
- **Mailing address phone:** (912) 350-5937
- **Mailing address fax:** (912) 350-3483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 06/01/2011