Jeffrey Lynn Porter, MA,ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

755 Hank Aaron Dr SW
Atlanta, GA 30315-1120

Phone

(404) 614-1376

Fax

(404) 614-1549

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033261813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HANK AARON DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151120",
            "telephone_number": "404-614-1376",
            "fax_number": "404-614-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HANK AARON DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151120",
            "telephone_number": "404-614-1376",
            "fax_number": "404-614-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MA,ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candra Natosha Porter, LCSW
• Emily Murrow Porter, PA
• Emon Porter
• Erin James Porter, NP
• Ivy Michelle Porter, M.S., CCC-SLP
• Jerry D Porter, MD
• Johnnie B. Porter, M. DIV., M.A.C.M.
• Kacey Porter
• Keilana Porter
• Lily Porter

• Athletic Trainer in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.