Individual provider Active NPI

Jamal Porter Jr., NP

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1487225686
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PORT-KW3AY Issued in NC
Practice address
821 Woodland Ave
Sanford, NC 27330-5356
Phone
(919) 895-6339
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 PORT-KW3AY NC Primary

Addresses

Primary practice location

821 Woodland Ave
Sanford, NC 27330-5356

Mailing address

821 Woodland Ave
Sanford, NC 27330-5356
Phone (919) 895-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220829003454 NC Practitioner - Nurse Practitioner 4284018946 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PORT-KW3AYNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince May 17, 2022 Accepting new patients
Emergency Coverage, LLC CurrentSince Mar 1, 2024 Accepting new patients
Ivx Health of North Carolina, P.C. CurrentSince Dec 4, 2023 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

9200 Harris Corners Pkwy
Ste A
Charlotte, NC 28269
Phone (704) 342-9011

7011 Fayetteville Rd
Ste 107
Durham, NC 27713
Phone (984) 250-6564

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jamal.porter@32899842441220.direct.elationemr.com

Organizations & group practices 4

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1487225686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WOODLAND AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305356",
            "telephone_number": "919-895-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WOODLAND AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305356",
            "telephone_number": "919-895-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JAMAL",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "PORT-KW3AY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.