NPIMap

Individual provider Active NPI

Jeffrey S Porter, CRNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1194022046
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20843 Issued in SC
Practice address
1301 Taylor St Ste 1a
Columbia, SC 29201-2946
Phone
(803) 434-4790
Fax
(803) 434-4799
NPI assigned
Feb 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011089 PA
Family Nurse Practitioner 363LF0000X 20843 SC Primary

Addresses

Primary practice location

1301 Taylor St Ste 1a
Columbia, SC 29201-2946

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (864) 522-8602

Other practice location 1

5200 Centre Ave
Pittsburgh, PA 15232-1300
Phone (412) 605-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211205000009 SC Practitioner - Nurse Practitioner 2668656422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Kershawhealth Hospital, Camden, SC, CCN 420048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jun 15, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jun 15, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2750 Laurel St
Ste 103
Columbia, SC 29204
Phone (803) 254-5171

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: jporter536687@direct.musc.edu

Organizations & group practices 4

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

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1194022046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "864-522-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST STE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012946",
            "telephone_number": "803-434-4790",
            "fax_number": "803-434-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321300",
            "country_code": "US",
            "telephone_number": "412-605-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011089",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.