JERRY D PORTER (NPI# 1578625448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578625448 |
| Entity Type | Individual |
| Full Name | JERRY D PORTER |
| Credential | MD |
| Practice Address |
5665 Peachtree Dunwoody Rd Ne Atlanta GA 30342-1701 |
| Practice Telephone | 4042521968 |
| Practice Fax Number | 4042524609 |
| Mailing Telephone | 4042521968 |
| Mailing Fax Number | 4042524609 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
GA19749 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1578625448 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893317 | Jerry Christopher Porter | Massage Therapist | 2015 13th Ave W, #201, Seattle, WA 98119-2702 | 2007-02-02 |
| 1568440832 | Jerry Alan Porter | Chiropractor | 3026 S Grand Blvd, Spokane, WA 99203-2560 | 2006-01-05 |
| 1386618973 | Jerry L Porter | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-13 |
| Street Address |
5665 PEACHTREE DUNWOODY RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755811 | Sudhir Prem Srivastava | Specialist | 5665 Peachtree Dunwoody Rd Ne, Suite 200, Atlanta, GA 30342-1764 | 2005-10-27 |
| 1700222049 | Elizabeth Yaughn Perlmutter | Social Worker | 5665 Peachtree Dunwoody Rd Ne, Erb Clinical Specialty Center, Atlanta, GA 30342-1764 | 2013-05-14 |
| 1528401890 | Karen B Robinson | Nurse Practitioner | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2013-04-16 |
| 1609128800 | Jamie L Swindle | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-10-11 |
| 1902157126 | Kaitlyn A Tinney | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-09-27 |
| 1386995504 | Andrew M Moore | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-09-27 |
| 1285904383 | Philip V Davis | Nurse Practitioner | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-01-05 |
| 1578855839 | Michele A Sundar | Hospitalist | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2011-05-05 |
| 1578860300 | Jessica C Murphy | Nurse Anesthetist, Certified Registered | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2011-02-14 |
| 1568764090 | Janice Lenora Lerch | Social Worker | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2010-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902143589 | Lindsey Oreita Lowder | Pathology | 1968 Peachtree Rd Nw Bldg 774th, Atlanta, GA 30309-1281 | 2013-01-15 |
| 1225293657 | Gwendolyn Darleen Holeman | Pathology | 3350 Regent Pl Sw, Atlanta, GA 30311-3095 | 2008-07-24 |
| 1568624922 | Brian C Quigley | Pathology | Emory University Hospital Department Of, 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2008-06-27 |
| 1386764769 | Sunita Iyengar Park | Pathology | Egleston Children's Hospital, 1405 Clifton Rd., Atlanta, GA 30322 | 2007-03-30 |
| 1871526715 | Ann Gragg Early | Pathology | 1955 Cliff Valley Way Ne, Suite 120, Atlanta, GA 30329-2476 | 2006-07-07 |
| 1568409167 | Nazmi Volkan Adsay | Pathology | 1364 Clifton Department of Pathology Rd Ne, Emory University Hospitals, Atlanta, GA 30322-0001 | 2006-06-01 |
| 1710935614 | James Van Buren Little | Pathology | 550 Peachtree St., Fischer Davis Building, Room 1327, Atlanta, GA 30308 | 2006-05-04 |
| 1477511483 | Carlos Abramowsky | Pathology | Egleston Childrens Hospital, 1405 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2006-05-02 |
| 1811964588 | Steven Pepper Atkinson | Pathology | 1364 Clifton Rd Ne # H185a, Atlanta, GA 30322-1064 | 2006-03-02 |
| 1962407643 | Myung Yong Chang | Pathology | 3300 Buckeye Rd, Ste 178, Atlanta, GA 30341-4232 | 2005-06-17 |
| Find all providers in ATLANTA | ||||
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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.