NPI age
19 years
Enumerated 2006-11-30
● Active Type 2 · Organization
Mppg, Inc.
Mppg, Inc. is 1 of 100 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Maddox
Provider Enrollment Coordinator
Last NPPES update
2011-06-01
Source: monthly bulk 2026-05
How this organization compares
Across 100 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1497 Fair Rd, Suite 200
Statesboro, GA 304580822
Mailing address
Po Box 102032
Atlanta, GA 303682032
Authorized official
Robin J. Maddox
Provider Enrollment Coordinator
📞 9123509335
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Clare Heidler, CRNA Nurse Anesthetist, Certified Registered NPI 1114291051
- Karen Hilde, RNC, WHNP Nurse Practitioner NPI 1952380768
- Ajay Jain, MD Internal Medicine NPI 1104853787
- Albert Lee, MD Anesthesiology NPI 1710947080
- John Martin, MD Surgery NPI 1316016819
- Kathryn Marucco, PNP Nurse Practitioner NPI 1942591482
- Ian Munger, DO Emergency Medicine NPI 1023247723
- Kashyap Patel, M.D. Psychiatry & Neurology NPI 1700947231
Specialties
-
Pediatrics PrimaryA pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
University Pediatrics
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.