Raymond L Portis (NPI# 1437312915, PAC ID# 0143470096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1437312915 |
| PAC ID by PECOS | 0143470096 |
| Professional Enrollment ID | I20121030000487 |
| Full Name | Raymond L Portis |
| Organization Legal Name | JACKSON PULMONARY ASSOCIATES, PA |
| Address |
501 Marshall St Suite 200 Jackson MS 39202-1687 |
| Phone Number | 6019819503 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 7517934292 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250096 | CROSSGATES RIVER OAKS HOSPITAL |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| Address | Phone | Organization |
|---|---|---|
| 501 Marshall St, Suite 200, Jackson, MS 39202-1687 | 6019819503 | JACKSON PULMONARY ASSOCIATES, PA |
| 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 | 6019819503 | JACKSON PULMONARY ASSOCIATES, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_051_overall | Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 100% | |
| MIPS_EC_276_overall | Sleep Apnea: Assessment of Sleep Symptoms | 100% |
| Organization Legal Name | JACKSON PULMONARY ASSOCIATES, PA |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don T Cannon | Pulmonary Disease | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| David O Westbrook | Pulmonary Disease | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Brittany A Little | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Bonney N Simmons | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Casey L Shows | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Brandon P Chambers | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Gary B Boggs | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| John E Studdard | Pulmonary Disease | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Lindsey B Lassiter | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Jordan Carmean | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Street Address |
501 MARSHALL ST SUITE 200 |
| City | JACKSON |
| State | MS |
| Zip | 39202-1687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| Brittany A Little | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Robert W Naef | Obstetrics/gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 | |
| Ashley M Johnson | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 501 Marshall St, Suite 400, Jackson, MS 39202-1687 |
| Lindsey B Lassiter | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Laurie S Nimon | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Mollie M Doty | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Bedear Petro | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Amanda Leigh Ellis | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Steven E Speights | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Sabra Sullivan | Dermatology | 501 Marshall St, Suite 606, Jackson, MS 39202-1650 | |
| Robert L Harris | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Raymond L Portis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.