Dalton James Porche

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

136268 Issued in GA

Practice address

315 Hospital Dr
Madison, TN 37115-5030

Phone

(615) 868-6503

NPI assigned

Sep 9, 2021

Last updated

Mar 6, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
• Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment Care Compare group NPD
• Advanced Urology Anesthesia, LLC

  • Specialist
  • Snellville, GA
  • NPI 1215365242
  Medicare reassignment NPD
• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Snellville, GA
  • NPI 1073896510
  Medicare reassignment NPD
• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Cumming, GA
  • NPI 1700407772
  NPD
• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Dallas, GA
  • NPI 1811846348
  NPD

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

• Southeastern Regional Medical Center, Inc.

  dba City of Hope Cancer Center Atlanta

  • General Acute Care Hospital
  • Newnan, GA
  • NPI 1235417288
  Care Compare affiliation
• West Georgia Medical Center, Inc.

  dba WellStar West Georgia Medical Center

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Care Compare affiliation

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1174292445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 BELLEVUE RD APT F2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212715",
            "telephone_number": "770-549-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155030",
            "telephone_number": "615-868-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCHE",
        "first_name": "DALTON",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN258274",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "136268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Pickering, APN
• Leah Piemonte
• Ebonee Pinkard
• Jonathan Pino
• Loren J Poole
• Jennifer Geraldine Porras Palacios
• Aubrionna Kathryn Ann Porter
• Lori Poulin, PHARMD
• Safi Prajapati
• Alisa Pratt, LMSW, MAC

• Certified Registered Nurse Anesthetist in Madison, TN
• Providers in Madison, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.