1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Nurse Practitioner
  6. NPI Profile

MMG 1 PC
NPI 1023037025
Nurse Practitioner in Southfield, MI

Active since July 19, 2006
28625 NORTHWESTERN HWY, SUITE 213, SOUTHFIELD, MI 48034(248) 354-9666(248) 354-3653 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Sep 20, 2018 (2 updates tracked since 2018).

About Mmg 1 Pc NPPES

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

MMG 1 PC (NPI 1023037025) is a healthcare organization registered as a nurse practitioner in Southfield, Michigan and active in the NPI registry since July 2006. The organization lists Geoffrey A Trivax, President, as its authorized official.

NPPES Registry Identity

NPI1023037025
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMMG 1 PC
Location Address28625 NORTHWESTERN HWY, SUITE 213Southfield, MI 48034-1828
Mailing Address29992 Northwestern Hwy Ste CFarmington Hills, MI 48334-3292 · (248) 851-1430 · Fax (248) 851-5182
Phone(248) 354-9666
Fax(248) 354-3653
Organization SubpartNo
Authorized OfficialGeoffrey A TrivaxPresident · (313) 538-3099
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1023037025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
28625 NORTHWESTERN HWY, Southfield, MI 48034
Open in Google Maps ↗

Other Identifiers 1

Other500F318990MI · Blue Shield Group

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HERMAN KADO M.D.
Internal Medicine (Cardiovascular Disease)
28625 NORTHWESTERN HWY, SUITE 150
SOUTHFIELD, MI 48034
Oakland County (248) 587-2300
DR. ISAAC BARR M.D.
Internal Medicine (Cardiovascular Disease)
28625 NORTHWESTERN HWY, SUITE 150
SOUTHFIELD, MI 48034
Oakland County (248) 945-0000
DR. GEOFFREY TRIVAX M.D.
Internal Medicine
28625 NORTHWESTERN HWY, SUITE 213
SOUTHFIELD, MI 48034
Oakland County (248) 354-9666
MS. NANCY B. BERMAN N.P.
Nurse Practitioner (Adult Health)
28625 NORTHWESTERN HWY, SUITE 213
SOUTHFIELD, MI 48034
Oakland County (248) 354-9666
MMG 1PC
Internal Medicine
28625 NORTHWESTERN HWY, SUITE 213
SOUTHFIELD, MI 48034
Oakland County (248) 354-9666
DR. MELANIE STOJANOVIC MD
Internal Medicine
28625 NORTHWESTERN HWY, SUITE 213
SOUTHFIELD, MI 48034
Oakland County (248) 354-9666
BRIANNA FRANCES BRAND PNP
Nurse Practitioner (Pediatrics)
28625 NORTHWESTERN HWY
SOUTHFIELD, MI 48034
Oakland County (248) 835-5064
MI HEALTHCARE PROFESSIONALS PC
Clinic/Center (Urgent Care)
28625 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Oakland County (248) 945-4373

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 Mmg 1 PC's NPI number?

The NPI number for Mmg 1 PC is 1023037025. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Mmg 1 PC located?

Mmg 1 PC is located at 28625 Northwestern Hwy Suite 213, Southfield, MI 48034. The listed phone number is (248) 354-9666.

What is Mmg 1 PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mmg 1 PC was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.