UNIVERSITY PEDIATRICS - NPI 1609170901 - Pediatrics in Okatie, SC

Q: What is Mppg, Inc.'s NPI number?

The NPI number for Mppg, Inc. is 1609170901. It was assigned to this organization in the NPPES registry on December 29, 2010. The provider is doing business as University Pediatrics.

Q: What is Mppg, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Mppg, Inc. was last updated on June 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About University Pediatrics NPPES

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

UNIVERSITY PEDIATRICS (NPI 1609170901) is a healthcare organization registered as a pediatric hematology-oncology in Okatie, South Carolina and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Robin J. Maddox, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1609170901

Entity TypeOrganization

Primary Taxonomy2080P0207X

Legal Business NameMPPG, INC.

Location Address14 OKATIE CENTER BLVD. SOUTH, SUITE 101Okatie, SC 29909

Mailing AddressPo Box 102032Atlanta, GA 30368-2032 · (912) 350-8180 · Fax (912) 350-8427

Phone(912) 350-8180

Fax(912) 350-8427

Organization SubpartNo

Authorized OfficialRobin J. MaddoxProvider Enrollment Coordinator · (912) 350-9335

Enumeration DateDecember 29, 2010

Last NPPES UpdateJune 1, 2011

✔ NPI 1609170901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

14 OKATIE CENTER BLVD. SOUTH, Okatie, SC 29909

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Other Names 1

Doing Business AsUniversity Pediatrics

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2053163

University Pediatrics · Savannah, GA

Active · expires Jan 27, 2027

CLIA Number11D2053163

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2025

Certificate Expiration DateJanuary 27, 2027

Laboratory DirectorDr. Jessica Donaldson

Laboratory Phone(912) 350-8180

Laboratory LocationUniversity Pediatrics4790 Waters Avenue, Suite 100, Savannah, GA 31404

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JOHN N. BURLING M.D.

Internal Medicine