OrganizationActive
Mmg 1 PC
NPI 1023037025 · Nurse Practitioner · Southfield, MI
Provider details
- NPI number
- 1023037025
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Geoffrey Trivax, President(313) 538-3099
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
28625 Northwestern Hwy
Suite 213
Southfield, MI 48034-1828
Phone: (248) 354-9666
Fax: (248) 354-3653
Approximate (ZIP-level) locationGet directions
Mailing address
29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2021-05-24
- Certified
- 2021-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.