Logan T Porter (NPI# 1881705762, PAC ID# 4082790019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1881705762 |
PAC ID by PECOS | 4082790019 |
Professional Enrollment ID | I20080331000354 |
Full Name | Logan T Porter |
Organization Legal Name | AFC PHYSICIANS OF FLORIDA, P.A. |
Address |
4713 Hwy 90 Pace FL 32571-1403 |
Phone Number | 8503040694 |
Gender | F |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2769616762 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100223 | FORT WALTON BEACH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 8508640213 | BLANCA PEAK INPATIENT SERVICES LLC |
4713 Hwy 90, Pace, FL 32571-1403 | 8503040694 | AFC PHYSICIANS OF FLORIDA, P.A. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Organization Legal Name | AFC PHYSICIANS OF FLORIDA, P.A. |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Simone H Brady | Nurse Practitioner | Afc Physicians of Florida, P.a. | 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413-5409 |
Heather Richelle Brown | Nurse Practitioner | Afc Physicians of Florida, P.a. | 1012 Hwy 98 E, Suite 100, Destin, FL 32541-2902 |
Mark Edwards | General Practice | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
Mark A Smith | Emergency Medicine | Afc Physicians of Florida, P.a. | 13457 Atlantic Blvd, Jacksonville, FL 32225-3293 |
Patrick D Bianchi | Internal Medicine | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
John B Hinckley | General Practice | Afc Physicians of Florida, P.a. | 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413-5409 |
Lee A Boxberger | Physician Assistant | Afc Physicians of Florida, P.a. | 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413-5409 |
Muhammad Tarik Shaaban | Family Medicine | Afc Physicians of Florida, P.a. | 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413-5409 |
Samantha Avla Blue | Nurse Practitioner | Afc Physicians of Florida, P.a. | 15415 Panama City Beach Pkwy, Panama City Beach, FL 32413-5409 |
Shane A Adkison | Family Practice | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
Street Address |
4713 HWY 90 |
City | PACE |
State | FL |
Zip | 32571-1403 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Edwards | General Practice | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
Patrick D Bianchi | Internal Medicine | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
Shane A Adkison | Family Practice | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
Henry Fox Casey Iii | Family Practice | Afc Physicians of Florida, P.a. | 4713 Hwy 90, Pace, FL 32571-1403 |
Name | Specialty | Organization | Address |
---|---|---|---|
Monica K Nall | Family Medicine | Baptist Medical Group LLC | 3874 Hwy 90, Pace, FL 32571-1014 |
Andrew D Henson | Family Medicine | Sacred Heart Hospital of Pensacola | 3754 Hwy 90, Suite 200, Pace, FL 32571-1098 |
Robert Kincaid | Family Medicine | Sacred Heart Hospital of Pensacola | 3754 Hwy 90, Suite 300, Pace, FL 32571-1098 |
Michael Patrick Oneill | Diagnostic Radiology | Professional Radiology Associates, P.a. | 4634 Summerdale Dr, Pace, FL 32571-1368 |
Casey L. Schneider | Nurse Practitioner | Santa Rosa Hma Physician Management, LLC | 4944 Hwy 90, Pace, FL 32571-1413 |
Michael C Brooks | Chiropractic | 5261 Hwy 90, Pace, FL 32571-1532 | |
Melissa A Christison | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 3909 Hwy 90, Pace, FL 32571-1915 |
Elizabeth Hedaria | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 3909 Hwy 90, Pace, FL 32571-1915 |
Kealie Mehr | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 3909 Hwy 90, Pace, FL 32571-1915 |
Stacey Lynn Paradise | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 3909 Hwy 90, Pace, FL 32571-1915 |
Find all physicians in zip 32571 |
City | PACE |
Zip Code | 32571 |
Specialty | FAMILY MEDICINE |
City + Specialty | PACE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Logan T 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.