Active NPI
Debra Porter, NP
- Family Nurse Practitioner
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| National Home Health Care Sercices, LLC | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| John E. Emmel, MD, PC | Current | 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.
-
- Home Health Agency
- Dillon, SC
- NPI 1528723061
-
dba Geriatric Facility Care Specialists
- Geriatric Medicine (Family Medicine) Physician
- Charleston, SC
- NPI 1235263534
-
dba OVP Health
- Community/Behavioral Health Agency
- Huntington, WV
- NPI 1639683725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.