M.G.T RN LLC
NPI 1003448952
Family Medicine in Mesa, AZ

Active since February 09, 2020
7117 E PERALTA CIR, MESA, AZ 85212(480) 430-0721 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About M.g.t Rn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M.G.T RN LLC (NPI 1003448952), doing business as Mgt Md At Home, is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since February 2020. The organization lists Jameelah Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003448952
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameM.G.T RN LLC
Location Address7117 E PERALTA CIRMesa, AZ 85212-9825
Mailing Address7316 E Southern Ave Unit 6091Mesa, AZ 85216-5005 · (480) 430-0721
Organization SubpartNo
Authorized OfficialJameelah WilsonOwner · (480) 430-0721
Enumeration DateFebruary 9, 2020
✔ NPI 1003448952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7117 E PERALTA CIR, Mesa, AZ 85212

Other Names 1

Doing Business AsMgt Md At Home

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M.g.t Rn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to M.G.T Rn LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1578939682
1237 S VAL VISTA DR # 117-118
Mesa, AZ 85204
(602) 552-2930
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1649884065
10445 E PIVITOL AVE
Mesa, AZ 85212
(480) 910-1539
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1184277139
5099 W DOBBINS RD UNIT B
Laveen, AZ 85339
(602) 688-2338
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1881140259
2510 W DUNLAP AVE STE 290
Phoenix, AZ 85021
(602) 789-0344
✔ PECOS✔ Accepts Medicare29 mi
Internal Medicine
NPI 1922366772
350 N WILMOT RD
Tucson, AZ 85711
(520) 873-3000
✔ PECOS✔ Accepts Medicare92 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M.G.T Rn LLC's NPI number?

The NPI number for M.G.T Rn LLC is 1003448952. It was assigned to this organization in the NPPES registry on February 9, 2020. The provider is doing business as MGT MD at Home.

Where is M.G.T Rn LLC located?

M.G.T Rn LLC is located at 7117 E Peralta Cir, Mesa, AZ 85212. The listed phone number is (480) 430-0721.

What is M.G.T Rn LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is M.G.T Rn LLC enrolled in Medicare?

Yes. M.G.T Rn LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M.G.T Rn LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to M.G.T Rn LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for M.G.T Rn LLC was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.