Johnnie B. Porter, M. DIV., M.A.C.M.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

4751 Best Rd Ste 400E
Atlanta, GA 30337-5609

Phone

(678) 637-4653

NPI assigned

Jul 5, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1356793160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1986",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806430",
            "telephone_number": "678-820-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 400E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303375609",
            "telephone_number": "678-637-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JOHNNIE",
        "middle_name": "B.",
        "credential": "M. DIV., M.A.C.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emon Porter
• Erin James Porter, NP
• Ivy Michelle Porter, M.S., CCC-SLP
• Jeffrey Lynn Porter, MA,ATC,LAT
• Jerry D Porter, MD
• Kacey Porter
• Keilana Porter
• Lily Porter
• Lindsey Marie Porter, M.S., CCC-SLP
• Lovie Mae Porter

• Pastoral Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.