Individual provider Active NPI

Rosalyn Patrice Porter, M.D.

  • Obstetrics & Gynecology Physician
  • Nashville, TN
National Provider Identifier
1396075537
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
59524 Issued in TN
Practice address
412 Dr D B Todd Jr Blvd
Nashville, TN 37203
Phone
(866) 711-1717
NPI assigned
Jan 11, 2010
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 59524 TN Primary
Obstetrics & Gynecology Physician 207V00000X 125053203 IL
Gynecology Physician 207VG0400X 59524 TN

Addresses

Primary practice location

412 Dr D B Todd Jr Blvd
Nashville, TN 37203

Mailing address

412 Dr D B Todd Jr Blvd
Nashville, TN 37203
Phone (866) 711-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190912002238 TN Practitioner - Obstetrics/Gynecology 1557536521 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053203ILMDObstetrics & Gynecology Physician
59524TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT University Medical Associates Inc Obstetrics & Gynecology CurrentSince May 1, 2022 Accepting new patients
Meharry Medical College CurrentSince Feb 5, 2021 Accepting new patients
Obhg Tennessee, P.C. Obstetrics & Gynecology CurrentSince Jul 15, 2019 Accepting new patients
University of Tennessee Current Accepting new patients
Her Health , PLLC Obstetrics & Gynecology PastSince Aug 8, 2024 Accepting new patients

Locations

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1396075537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 DR D B TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "866-711-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 DR D B TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "866-711-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ROSALYN",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "59524",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125053203",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "59524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.