The affairs of the association are piloted by the arms of the association which includes; NAMMES National Executive Council (NEC), NAMMES Nigeria Senate (Senate) and NAMMES Nigeria Presidents’ Forum (NNPF).

The NEC carry out the day to day running of the association. The Senate which performs the legislative and judicial functions of the association is saddled with quality representation of all member institutions; effective law/policy making; as well as oversight functions on all members and activities of the NAMMES NEC.

The NNPF comprise of the heads of Local Executive Councils (LECs) of all affiliated member institutions. They are saddled with complementing the works of the NEC and the Senate in their respective institutions and zones to drive the vision, mission, aims as well as the objectives of the association to reality.