Active NPI
Portia Chine Effinger, NP-C
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN221028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Impact Health Centers Inc | Current | Accepting new patients | |
| Positive Impact Health Centers, Inc. | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
- 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.
-
- Primary Care Clinic/Center
- Duluth, GA
- NPI 1790861995
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1912476466
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Case Management Agency
- Duluth, GA
- NPI 1619064847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.