NPIMap

Individual provider Active NPI

Simon E. Portee, M.D.

  • Emergency Medicine Physician
  • Greensboro, GA
National Provider Identifier
1366469108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
033177 Issued in GA
Practice address
120 Siloam Road
Greensboro, GA 30642
Phone
(706) 453-5041
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 033177 GA Primary

Addresses

Primary practice location

120 Siloam Road
Greensboro, GA 30642

Mailing address

5968 Gateway Blvd
Stone Mountain, GA 30087-6055
Phone (678) 476-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20031208000443 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 0446156988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Outreach Preventative Care Inc (Copc)Group PAC ID 1557852753, 2 clinicians

Practice addresses (Care Compare)

11680 Great Oaks Way
Alpharetta, GA 30022-2483
Phone (866) 243-3421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033177GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Consultants of Atlanta, Inc. CurrentSince Apr 23, 2020 Accepting new patients
U-First Healthcare LLC CurrentSince Dec 1, 2020 Accepting new patients
Recovery Consultants of Atlanta, Inc. CurrentSince Apr 23, 2020 Accepting new patients
Community Outreach Preventative Care Inc (Copc) CurrentSince Nov 4, 2025 Accepting new patients
BJC Medical Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Morningside Emergency Physicians LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Tenet Healthsystem SGH, Inc. Past Accepting new patients
North Georgia Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Carter Emergency Physicians Emergency Medicine Past Accepting new patients
Equity Advanced Nursing and Wellness Services LLC Past Accepting new patients
Chestatee Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Burke Emergency Physicians Emergency Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Ideal Medical Group LLC Past Accepting new patients
Ogeechee Valley Emergency Physicians Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
Washington Wilkes Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

11680 Great Oaks Way
Ste 170
Alpharetta, GA 30022
Phone (404) 296-1130

4229 Snapfinger Woods Dr
Decatur, GA 30035
Phone (404) 286-9252

10945 State Bridge Rd
Johns Creek, GA 30022
Phone (770) 619-2066

10945 State Bridge Rd
Ste 401115
Johns Creek, GA 30022

2323 Shallowford Rd
Ste 107
Marietta, GA 30066

4228 1st Ave
Ste 1
Tucker, GA 30084
Phone (770) 414-5758

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGAD

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 7

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366469108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5968 GATEWAY BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876055",
            "telephone_number": "678-476-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SILOAM ROAD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "30642",
            "telephone_number": "706-453-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEE",
        "first_name": "SIMON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "033177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.