MS. DEANA J PORTER (NPI# 1134452568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134452568 |
Entity Type | Individual |
Full Name | MS. DEANA J PORTER |
Credential | PA-C |
Practice Address |
210 Mercer Jct Macon GA 31210-4016 |
Mailing Address |
655 7th St Bldg 700700-a 78 Mdg/sgof Robins Afb GA 31098-2227 |
Practice Telephone | 4024797991 |
Mailing Telephone | 4024977793 |
Enumeration Date | 2009-09-17 |
Last Update Date | 2020-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
210 MERCER JCT |
City | MACON |
State | GA |
Zip Code | 31210-4016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154375913 | Ladonna Bridges | Registered Nurse | 210 Mercer Jct, Macon, GA 31210-4016 | 2006-05-19 |
1508169426 | Burton Medical Group LLC | Family Medicine | 210 Mercer Jct, Macon, GA 31210-4016 | 2010-12-15 |
1386840841 | Lisa Hichkad | Physician Assistant | 210 Mercer Jct, Macon, GA 31210-4016 | 2007-06-22 |
1912947326 | Frederick A Burton Jr. | Emergency Medicine | 210 Mercer Jct, Macon, GA 31210-4016 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
Find all providers in zip 31210 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033309075 | Heidi Mans Atkins | Physician Assistant | 556 3rd St Ste A, Macon, GA 31201 | 2007-07-26 |
1982648200 | Gretchen D Suk | Physician Assistant | 1062 Forsyth St, Suite 1b, Macon, GA 31201-8637 | 2006-06-16 |
1295732576 | Christine Harrell | Physician Assistant | 1062 Forsyth St Ste 2e, Macon, GA 31201-8631 | 2005-07-01 |
1548265549 | Rallie D Cogburn Sr. | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2005-06-16 |
1942845375 | Emily Kerns | Physician Assistant | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-11-08 |
1245708072 | Amberly Hardison | Physician Assistant | 124 3rd St, Macon, GA 31201-3404 | 2018-11-09 |
1407266968 | Patricia Frances Baldwin | Physician Assistant | 400 Charter Blvd, Macon, GA 31210-4831 | 2014-05-05 |
1033405477 | Rachel Hinson Youngblood | Physician Assistant | 800 1st St Ste 410, Macon, GA 31201-8306 | 2011-06-23 |
1740598648 | Beth Scoggan Costolnick | Physician Assistant | 550 Professional Dr, Macon, GA 31201-1411 | 2010-09-14 |
1962634451 | Harry Tinley (tim) Reynolds | Physician Assistant | 556 3rd St, Suite A, Macon, GA 31201-7934 | 2009-08-17 |
Find all providers in MACON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.