Individual provider Active NPI

James L Portzer, DO

  • Emergency Medicine Physician
  • Savannah, GA
National Provider Identifier
1366485336
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
058095 Issued in GA
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

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000967018CMedicaidGA
000967018DMedicaidGA
000967018FMedicaidSC
000967018BMedicaidGA
000967018HMedicaidGA
10058867OtherGAAMERIGROUP
G58095MedicaidSC
000967018FMedicaidGA
000967018GMedicaidGA
000967018AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000381 GA Practitioner - Emergency Medicine 3274593124 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Skidaway Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Georgia Emergency Associates Emergency Medicine CurrentSince Oct 28, 2002 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 PastSince Nov 21, 2021 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.

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

Verify at the official NPI Registry.