Organization Active NPI

Porter Field Health & Rehab Center LLC

  • Skilled Nursing Facility
  • Macon, GA
National Provider Identifier
1124298328
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-011-1916 Issued in GA
Legal business name
PORTER FIELD HEALTH & REHAB CENTER LLC
Practice address
3051 Whiteside Rd
Macon, GA 31216-6209
Phone
(478) 788-1421
Fax
(478) 781-0987
NPI assigned
Mar 4, 2008
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Michael E Winget Jr.
Title
Secretary
Phone
(478) 974-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-011-1916 GA Primary

Addresses

Primary practice location

3051 Whiteside Rd
Macon, GA 31216-6209

Mailing address

3051 Whiteside Rd
Macon, GA 31216-6209
Phone (478) 788-1421

Other identifiers 1

IdentifierTypeStateIssuer
000222582AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1124298328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 WHITESIDE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166209",
            "telephone_number": "478-788-1421",
            "fax_number": "478-781-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WHITESIDE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166209",
            "telephone_number": "478-788-1421",
            "fax_number": "478-781-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER FIELD HEALTH & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "478-974-0006",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-011-1916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000222582A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.