Neill C Porter (NPI# 1689711236, PAC ID# 4082642335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1689711236 |
| PAC ID by PECOS | 4082642335 |
| Professional Enrollment ID | I20050728000993 |
| Full Name | Neill C Porter |
| Address |
4612 29th Ave Meridian MS 39305-1652 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 4612 29th Ave, Meridian, MS 39305-1652 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 99% |
| Street Address |
4612 29TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip | 39305-1652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Dubose | Nurse Practitioner | Meridian Weight Management Center | 4715 24th Place, Meridian, MS 39305-1686 |
| Robbyn Lee | Nurse Practitioner | Meridian Weight Management Center | 4715 24th Place, Meridian, MS 39305-1686 |
| Paige Jackson | Nurse Practitioner | Meridian Weight Management Center | 4715 24th Place, Meridian, MS 39305-1686 |
| Chasity Sisson | Nurse Practitioner | Meridian Weight Management Center | 4715 24th Place, Meridian, MS 39305-1686 |
| Roscoe L Douglas | Psychologist, Clinical | 1207 White Oak Dr, Meridian, MS 39305-1902 | |
| Katrice L Pacley | Nurse Practitioner | Healthcareonthego, LLC | 3901 King Rd, Meridian, MS 39305-2533 |
| Tearrah S Conerly | Nurse Practitioner | Healthcareonthego, LLC | 3901 King Rd, Meridian, MS 39305-2533 |
| Priscilla M Mathis | Nurse Practitioner | Healthcareonthego, LLC | 3901 King Rd, Meridian, MS 39305-2533 |
| Vickie L Warren | Nurse Practitioner | East Mississippi Medical Clinic | 4711 Poplar Springs Dr, Meridian, MS 39305-2622 |
| Noel Palmer | Nurse Practitioner | East Mississippi Medical Clinic | 4711 Poplar Spg Dr, Meridian, MS 39305-2622 |
| Find all physicians in zip 39305 | |||
| City | MERIDIAN |
| Zip Code | 39305 |
| Specialty | DERMATOLOGY |
| City + Specialty | MERIDIAN + DERMATOLOGY |
Please comment or provide details below to improve the information on Neill C Porter.
| 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.