Porter Family Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTER FAMILY PRIMARY CARE, LLC

Doing business as

Porter Family Primary Care

Practice address

6222 E Shelby Dr
Memphis, TN 38141-7735

Phone

(901) 878-3274

Fax

(901) 492-4941

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Antonio Porter

Title

Owner

Phone

(901) 878-3274

Specialties & licenses 1

Addresses

Other names 1

• Porter Family Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kabreashia Porter, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1043082050
  Medicare reassignment NPD (past)
• Jasmine Granger

  • Family Nurse Practitioner
  • Collierville, TN
  • NPI 1174139455
  NPD (past)

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1083443758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417735",
            "telephone_number": "901-878-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417735",
            "telephone_number": "901-878-3274",
            "fax_number": "901-492-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER FAMILY PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-878-3274"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Family Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poplar Medical, LLC
• Poplar Podiatry PC
• Poplar Primary Care PC
• Ariel Ramiez Porcalla, M.D., M.P.H.
• Matthew Porch, RT(R)
• Drew D Porter
• Jerlym S Porter, PHD
• Kabreashia Porter, FNP-BC
• Keevia Y Porter, NP-C
• Lalisia Porter

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.