FANISHA Y PORTER (NPI# 1659716546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659716546 |
| Entity Type | Individual |
| Full Name | FANISHA Y PORTER |
| Credential | M.D. |
| Practice Address |
250 Martin Luther King Jr Blvd Macon GA 31201 |
| Practice Telephone | 4783014111 |
| Mailing Telephone | 4783012362 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
82683 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Bishop Ln N, Mobile, AL 366085821 | 2514504359 |
| Street Address |
250 MARTIN LUTHER KING JR BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465860 | John Wesley King Jr. | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2005-08-24 |
| 1194350017 | Michael Caputo | Marriage & Family Therapist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2020-03-11 |
| 1801319447 | Neha Khorana | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2017-07-25 |
| 1659818623 | Community Health Care Systems, Inc | Clinic/Center | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2017-01-27 |
| 1679835649 | Joe Sam Robinson IIi | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2012-06-14 |
| 1831457274 | Stephanie Alexandra Beavers | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2012-04-23 |
| 1447534441 | Marita Ann Hockstedler | Nurse Practitioner | 250 Martin Luther King Jr Blvd, Macon, GA 31201-0000 | 2011-10-10 |
| 1154602910 | Dinah K Ayna | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2011-09-07 |
| 1477708956 | Katherine Walker Hatcher | Nurse Practitioner | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2008-11-25 |
| 1760634505 | Avinesh Singh Bhar Jaswindar Singh | Internal Medicine | 250 Martin Luther King Jr Blvd, Macon, GA 31201 | 2008-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588924674 | Richard Burton Liipfert Jr. | Psychiatry & Neurology | 125 Plantation Centre Dr S Ste 600, Macon, GA 31210-2079 | 2012-05-22 |
| 1205072063 | Virginia Wight | Psychiatry & Neurology | 781 Progress St, Macon, GA 31201-1435 | 2008-12-29 |
| 1922207349 | Debra Ann Osborne | Psychiatry & Neurology | 200 Northside Xing, Macon, GA 31210-2296 | 2007-07-16 |
| 1407993157 | Ali Ahmadi | Psychiatry & Neurology | 3902 Northside Dr, Suite A4, Macon, GA 31210-2459 | 2007-01-31 |
| 1043379928 | Asad Murtuza Naqvi | Psychiatry & Neurology | 745 Riverside Drive Ln, Macon, GA 31201-2658 | 2006-12-07 |
| 1720159098 | Ronnie Blount | Psychiatry & Neurology | 125 Frist St, Ste A, Macon, GA 31201 | 2006-11-10 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| 1255386835 | Cesar Yamill Figueroa | Psychiatry & Neurology | 340 Hospital Dr Bldg E, Macon, GA 31217-3838 | 2006-05-23 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1326017385 | Alice Olivia Mcmichael | Psychiatry & Neurology | 73 Pate Rd, Macon, GA 31210-5201 | 2006-03-14 |
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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.