Individual provider Active NPI

Porshia Elise Mahoro, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1255855540
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22907 Issued in TN
Practice address
1588 Union Ave
Memphis, TN 38104-3729
Phone
(901) 300-1562
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22907 TN Primary

Addresses

Primary practice location

1588 Union Ave
Memphis, TN 38104-3729

Mailing address

1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 300-1562

Other practice location 1

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Other practice location 2

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

Other names 1

  • Porshia Elise Gibbs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180927000800 TN Practitioner - Nurse Practitioner 3779834957 Reassigns benefits to 3 organizations
I20221006000441 MS Practitioner - Nurse Practitioner 3779834957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shelby County Health Care CorporationGroup PAC ID 6608784855, 35 clinicians
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 683-0055

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as subgroup
Quality
83.22
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22907TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The West Clinic P.C. CurrentSince May 9, 2022 Accepting new patients
Shelby County Health Care Corporation CurrentSince Apr 4, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Apr 13, 2020 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Apr 13, 2020 Accepting new patients
The West Clinic P.C. CurrentSince Aug 25, 2022 Accepting new patients
Shelby County Health Care Corporation CurrentSince Apr 4, 2022 Accepting new patients
Memphis and Shelby County Health Dept. Past Accepting new patients
The West Clinic P.C. Past Accepting new patients

Locations

2001 State Dr
Corinth, MS 38834
Phone (662) 286-3694

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

1290 Kelley Dr
Paris, TN 38242
Phone (270) 554-0011

Organizations & group practices 8

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 3

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1255855540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043729",
            "telephone_number": "901-300-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043729",
            "telephone_number": "901-300-1562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7945 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381762",
            "country_code": "US",
            "telephone_number": "901-683-0055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7668 Airways Blvd",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715304",
            "country_code": "US",
            "telephone_number": "662-349-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHORO",
        "first_name": "PORSHIA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORSHIA",
            "last_name": "GIBBS",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.