David Andrew Porter, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00365 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 984-1000

NPI assigned

Jan 31, 2018

Last updated

Dec 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wayne General Hospital

  dba Wayne General Hospice

  • Community Based Hospice Care Agency
  • Waynesboro, MS
  • NPI 1215958780

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Wayne General Hospital

  dba Waynesboro Family Medicine & Obstetrics

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1285882662

  W-2 Managing Employee

  CMS ownership
• Wayne General Hospital

  dba Wayne General Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Waynesboro, MS
  • NPI 1417978982

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Wayne General Hospital

  dba Wayne General School Clinic

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1558963496

  Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Wayne General Hospital

  dba Wayne General Home Health

  • Home Health Agency
  • Waynesboro, MS
  • NPI 1598787160

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wayne General Hospital

  dba Wayne General Crna

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638
  Medicare reassignment Care Compare group NPD
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment
• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment
• Rush Medical Foundation

  dba Professional Services Division

  • Anesthesiology Physician
  • Meridian, MS
  • NPI 1588625594
  Medicare reassignment
• South Central Clinics, Inc

  dba Ellisville Medical Clinic

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287
  Medicare reassignment
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment
• Covington County Hospital

  dba Smith County EH Pro Fees

  • Emergency Medical Services (Emergency Medicine) Physician
  • Raleigh, MS
  • NPI 1003654567
  NPD
• Covington County Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Collins, MS
  • NPI 1780706994
  NPD
• Forrest County General Hospital

  dba The Doctors Clinic

  • Rural Health Clinic/Center
  • Richton, MS
  • NPI 1205974201
  NPD
• Rush Medical Foundation

  dba Ochsner Health Center-Rush

  • Rural Health Clinic/Center
  • Meridian, MS
  • NPI 1275910663
  NPD
• Rush Medical Foundation

  dba Ochsner Watkins Hospital

  • Critical Access Hospital
  • Quitman, MS
  • NPI 1912079625
  NPD
• South Central Clinics, Inc

  dba South Central Urgent Care

  • Rural Health Clinic/Center
  • Laurel, MS
  • NPI 1033903547
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  Care Compare affiliation

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1043718398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 OLD HIGHWAY 84 RD",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393678161",
            "telephone_number": "601-381-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "00365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portable Medical Diagnostics Inc
• Portable Medical Diagnostics LLC
• Portable Medical Diagnostics LLC
• Alfred Conway Porter, MBA
• Ann Michelle Porter, NP
• Debra L Porter, PT
• John M Porter, MD
• Mary Lauren Porter, AUD
• Stephen Benjamin Porter
• Portis Medical Solutions LLC

• Physician Assistant in Jackson, MS
• Providers in Jackson, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.