Individual provider Active NPI

Portia Chine Effinger, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1467012906
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN221028 Issued in GA
Practice address
4300 Paces Ferry Rd SE Ste 170
Atlanta, GA 30339-5705
Phone
(770) 433-9437
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN221028 GA Primary

Addresses

Primary practice location

4300 Paces Ferry Rd SE Ste 170
Atlanta, GA 30339-5705

Mailing address

4300 Paces Ferry Rd SE Ste 170
Atlanta, GA 30339-5705
Phone (770) 433-9437

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428000854 GA Practitioner - Nurse Practitioner 2961832282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1650 County Service Pkwy SW
Marietta, GA 30008-4010
Phone (770) 514-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Impact Health Centers Inc CurrentSince May 31, 2023 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince May 31, 2023 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 22, 2020 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 22, 2020 Accepting new patients
Positive Impact Health Centers, Inc Past Accepting new patients

Locations

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1650 County Services Pkwy SW
Ste 200
Marietta, GA 30008
Phone (678) 213-2001

1650 County Services Pkwy SW
Marietta, GA 30008
Phone (770) 514-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
  • Direct secure messaging: portia.effinger.1@30781.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1467012906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395705",
            "telephone_number": "770-433-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395705",
            "telephone_number": "770-433-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFINGER",
        "first_name": "PORTIA",
        "middle_name": "CHINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN221028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.