Individual provider Active NPI

Debra Porter, NP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1275148140
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23828 Issued in SC
Practice address
27 Gamecock Ave Ste 201
Charleston, SC 29407-3398
Phone
(843) 769-8215
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 23828 SC Primary

Addresses

Primary practice location

27 Gamecock Ave Ste 201
Charleston, SC 29407-3398

Mailing address

27 Gamecock Ave Ste 201
Charleston, SC 29407-3398
Phone (843) 769-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201022002098 SC Practitioner - Nurse Practitioner 0749600245 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Oct 6, 2020 Accepting new patients
National Home Health Care Sercices, LLC Current Accepting new patients
Ohio Valley Physicians Inc CurrentSince Oct 6, 2020 Accepting new patients
John E. Emmel, MD, PC CurrentSince Sep 1, 2024 Accepting new patients
Ohio Valley Physicians Inc Family Past Accepting new patients
Ohio Valley Physicians Inc Past Accepting new patients

Locations

27 Gamecock Ave
Ste 201
Charleston, SC 29407
Phone 8437698215 ext. 10

251 W Palmetto St
Florence, SC 29501
Phone (843) 662-7026

3471 Belle Terre Blvd
Unit A1
Myrtle Beach, SC 29579
Phone (843) 236-1950

2102 Cromley Cir
Ste A
Myrtle Beach, SC 29577
Phone (843) 999-0064

441 N Main St
Sumter, SC 29150
Phone (803) 750-5080

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1275148140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073398",
            "telephone_number": "843-769-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073398",
            "telephone_number": "843-769-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.