DEBRA A PORTER (NPI# 1962543066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962543066 |
| Entity Type | Individual |
| Full Name | DEBRA A PORTER |
| Credential | DC |
| Practice Address |
2655 Dallas Hwy Sw Suite 110 Marietta GA 30064-2597 |
| Practice Telephone | 7704271889 |
| Practice Fax Number | 7704277513 |
| Mailing Telephone | 7704271889 |
| Mailing Fax Number | 7704277513 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005756 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AETNA | 5707692 | 01 |
| GA | AM.SPECIALTY NETWORK | 1001532 | 01 |
| GA | BLUECROSSBLUESHIELD OF GA | 52650137 | 01 |
| GA | AMERICAN CHIROPRACTIC NET | 646983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223606 | Debra R Porter | Specialist | 37 Ocean St, South Portland, ME 04106-2827 | 2019-06-12 |
| 1356521686 | Debra Ley Porter | Pharmacist | 345 Amherst St, Buffalo, NY 14207-2809 | 2007-11-03 |
| 1275148140 | Debra Porter | Nurse Practitioner | 251 W Palmetto St, Florence, SC 29501-4415 | 2020-09-09 |
| 1225452790 | Debra L Porter | Physical Therapist | 4540 Manhattan Rd, Jackson, MS 39206-6022 | 2014-02-04 |
| 1437407434 | Debra Ann Porter | Counselor | 4099 Mcewen Rd, Suite 600, Dallas, TX 75244-5030 | 2012-08-22 |
| 1033244975 | Debra Porter | Case Manager/Care Coordinator | 370 Crenshaw Blvd, E-100, Torrance, CA 90503-1727 | 2007-02-22 |
| 1730297565 | Debra Lynn Porter | Midwife | 50 Union St, Ellsworth, ME 04605-1586 | 2006-08-29 |
| 1750330544 | Debra A Porter | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2006-05-09 |
| Street Address |
2655 DALLAS HWY SW SUITE 110 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740212240 | Mohsin M. Hisamuddin | Internal Medicine | 2655 Dallas Hwy Sw, Suite 340, Marietta, GA 30064-2597 | 2006-07-06 |
| 1255867164 | Kimbro Henson Burnett | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2017-05-11 |
| 1790219103 | Ps Dds | Dentist | 2655 Dallas Hwy Sw, 510, Marietta, GA 30064-2597 | 2017-04-13 |
| 1851765994 | Tara Haynes Jiminez | Counselor | 2655 Dallas Hwy Sw, Suite 520, Marietta, GA 30064-2597 | 2015-11-29 |
| 1134500598 | Heidi Zaffos | Counselor | 2655 Dallas Hwy Sw, Suite 240, Marietta, GA 30064-2597 | 2015-06-11 |
| 1811323488 | Jordan Kendrick Simmons Gilligan | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-7579 | 2013-09-16 |
| 1730427063 | Mark Ellison | Marriage & Family Therapist | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2013-01-22 |
| 1003183492 | Teresa Cress | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2011-11-29 |
| 1518243724 | Christina Ann Hunt | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-2597 | 2011-11-01 |
| 1861799629 | William Edward Adams | Counselor | 2655 Dallas Hwy Sw, Suite 610, Marietta, GA 30064-2597 | 2011-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1528677499 | Milan Modi | Chiropractor | 3225 Shallowford Rd Ste 700, Marietta, GA 30062-7026 | 2020-07-27 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1578199113 | Munntouya Hunt | Chiropractor | 2185 Palmyra Dr Se, Marietta, GA 30067-6681 | 2020-03-16 |
| 1851926083 | Nicholas Weston | Chiropractor | 2560 Delk Rd Se, Marietta, GA 30067-6323 | 2020-03-09 |
| 1003447418 | Nathan Bennett | Chiropractor | 3901 Mary Eliza Trce Nw Ste 201, Marietta, GA 30064-1096 | 2020-02-04 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1770129587 | Tuyet Thy Dang | Chiropractor | 2609 Deerfield Cir Sw, Marietta, GA 30064-4205 | 2019-11-27 |
| Find all providers in MARIETTA | ||||
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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.