Active NPI
James L Portzer, DO
- Emergency Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 058095
- Practice address
- 5 Executive Cir
Savannah, GA 31406-3345 - Phone
- (912) 355-2400
- Fax
- (912) 355-5324
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 881 | SC | |
| General Practice Physician | 208D00000X | 058095 | GA | |
| Emergency Medicine Physician | 207P00000X | 058095 | GA | Primary |
Addresses
Primary practice location
5 Executive Cir
Savannah, GA 31406-3345
Mailing address
5 Executive Cir
Savannah, GA 31406-3345
Phone (912) 355-2400
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000967018C | Medicaid | GA | |
| 000967018D | Medicaid | GA | |
| 000967018F | Medicaid | SC | |
| 000967018B | Medicaid | GA | |
| 000967018H | Medicaid | GA | |
| 10058867 | Other | GA | AMERIGROUP |
| G58095 | Medicaid | SC | |
| 000967018F | Medicaid | GA | |
| 000967018G | Medicaid | GA | |
| 000967018A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Skidaway Medical Group LLC | Current | Accepting new patients | |
| Georgia Emergency Associates | Emergency Medicine | Current | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Nes of Florida, Inc. | Emergency Medicine | Past | Accepting new patients |
| MFHS Physicians' Emergency Services, PC | Emergency Medicine | Past | Accepting new patients |
| Skidaway Medical Group LLC | Past | Accepting new patients | |
| Carolina Emergency Associates | Emergency Medicine | Past | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
212 Johnny Mercer Blvd
#B
Savannah, GA 31410
Phone (912) 201-1140
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
310 Eisenhower Dr
Ste 12A
Savannah, GA 31406
Phone (912) 201-1140
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
- Primary Care Clinic/Center
- Savannah, GA
- NPI 1164188413
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1275563942
-
- Emergency Medicine Physician
- Hinesville, GA
- NPI 1316365729
-
- Primary Care Clinic/Center
- Savannah, GA
- NPI 1982360236
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1780630194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1366485336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"telephone_number": "912-355-2400",
"fax_number": "912-355-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063345",
"telephone_number": "912-355-2400",
"fax_number": "912-355-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTZER",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "881",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "058095",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "058095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018F",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018H",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10058867",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G58095",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967018A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.