OrganizationActive
Mmg 1PC
NPI 1215040506 · Internal Medicine Physician · Southfield, MI
Mmg 1PC is a Internal Medicine Physician organization in Southfield, MI (NPI 1215040506).
Provider details
- NPI number
- 1215040506
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Trivax, President(248) 354-9666
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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 Ste 100
Southfield, MI 48034-8351
Phone: (248) 354-0730
Fax: (248) 354-1652
Approximate (ZIP-level) locationGet directions
Mailing address
29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2018-09-20
Frequently asked questions
- What is Mmg 1PC's NPI number?
- Mmg 1PC's National Provider Identifier (NPI) is 1215040506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmg 1PC?
- Mmg 1PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mmg 1PC located?
- Mmg 1PC's practice location on file with NPPES is 28625 Northwestern Hwy Ste 100, Southfield, MI 48034-8351.
- What is Mmg 1PC's phone number?
- The practice phone number listed in the NPPES registry for Mmg 1PC is (248) 354-0730.
- Who is the authorized official for Mmg 1PC?
- The authorized official listed on Mmg 1PC's NPPES record is Geoffrey Trivax, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmg 1PC's NPI active?
- Yes — Mmg 1PC's NPI (1215040506) is active in the NPPES registry as of the last update on 2018-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.