PROVIDENT OB/GYN ASSOCIATES – NPI #1982925145
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

PROVIDENT OB/GYN ASSOCIATES is a provider located in OKATIE, SC. NPPES has assigned the NPI number 1982925145 to PROVIDENT OB/GYN ASSOCIATES on June 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVIDENT OB/GYN ASSOCIATES” is a dba name, the actual legal business name for this organization is MPPG, INC.. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 15 years ago on Jun 01, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENT OB/GYN ASSOCIATES below.

NPI Profile for
MPPG, INC.

NPI Number
1982925145
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MPPG, INC.
Doing Business As (dba): PROVIDENT OB/GYN ASSOCIATES
Primary location
14 OKATIE CENTER BLVD. SOUTH
SUITE 101
OKATIE, SC 29909
Phone: (843) 836-3800 Fax: (843) 705-3828
Mailing address
PO BOX 102032
ATLANTA, GA 30368-2032
Phone: (843) 836-3800 Fax: (843) 705-3828
Organization Subpart
No
Authorized Official
ROBIN MADDOX
PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.