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MEMORIAL HEALTH RICHMOND HILL
NPI 1891861548
Internal Medicine in Richmond Hill, GA

Active since November 27, 2006CLIA 11D2073792 · Waiver
3776 US HIGHWAY 17, RICHMOND HILL, GA 31324(912) 350-7020(912) 459-0064 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Health Richmond Hill NPPES

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

MEMORIAL HEALTH RICHMOND HILL (NPI 1891861548) is a healthcare organization registered as an internal medicine in Richmond Hill, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Sebrena Holmes Gibson, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1891861548
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMPPG, INC.
Location Address3776 US HIGHWAY 17Richmond Hill, GA 31324-3378
Mailing AddressPo Box 102032Atlanta, GA 30368-2032 · (912) 756-2292 · Fax (912) 756-2289
Phone(912) 350-7020
Fax(912) 459-0064
Organization SubpartNo
Authorized OfficialSebrena Holmes GibsonProvider Enrollment Coordinator · (912) 350-9335
Enumeration DateNovember 27, 2006
Last NPPES UpdateJune 20, 2016
✔ NPI 1891861548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
3776 US HIGHWAY 17, Richmond Hill, GA 31324
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Other Names 1

Doing Business AsMemorial Health Richmond Hill

Other Identifiers 4

Medicaid3000031676AGA
Other085001150GGA · Gbhc
OtherCH5121GA · Railroad Medicare Group
Medicare PINGRP3905GA

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 11D2073792

Memorial Health-Family Care Richmond Hill · Richmond Hill, GA
Active · expires Sep 5, 2026
CLIA Number11D2073792
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorEmily Zealy
Laboratory Phone(912) 350-7020
Laboratory LocationMemorial Health-Family Care Richmond Hill3780 Us Highway 17, Richmond Hill, GA 31324
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DANIEL AARON BRODY D.O.
Family Medicine
3776 US HIGHWAY 17
RICHMOND HILL, GA 31324
Bryan County (912) 350-7020
JESSICA MICHELLE COOK
Nurse Practitioner (Family)
3776 US HIGHWAY 17
RICHMOND HILL, GA 31324
Bryan County (912) 346-0108

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 Mppg, Inc.'s NPI number?

The NPI number for Mppg, Inc. is 1891861548. It was assigned to this organization in the NPPES registry on November 27, 2006. The provider is doing business as Memorial Health Richmond Hill.

Where is Mppg, Inc. located?

Mppg, Inc. is located at 3776 Us Highway 17, Richmond Hill, GA 31324. The listed phone number is (912) 350-7020.

What is Mppg, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mppg, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2073792) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mppg, Inc. was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.