Individual provider Active NPI

Portia Risper, FNP-BC

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1497294532
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN220348 Issued in GA
Practice address
600 S Pine Hill Rd
Apt H6
Griffin, GA 30224-8325
Phone
(404) 561-2505
NPI assigned
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 RN220348 GA Primary

Addresses

Primary practice location

600 S Pine Hill Rd
Apt H6
Griffin, GA 30224-8325

Mailing address

600 S Pine Hill Rd
Apt H6
Griffin, GA 30224-8325
Phone (404) 561-2505

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
I20170821000669 GA Practitioner - Nurse Practitioner 9234401647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson County Hospital IncGroup PAC ID 8729075536, 11 clinicians

Practice addresses (Care Compare)

801 W Gordon St
Thomaston, GA 30286-3426
Phone 70664781111330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN220348GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Center Mhaddd CurrentSince Feb 26, 2019 Accepting new patients
Ennoble HC DMV LLC CurrentSince Oct 21, 2024 Accepting new patients
Clayton Community Mental Health Substance Abuse Deve SVCS Board Current Accepting new patients
Upson County Hospital Inc CurrentSince Jan 2, 2018 Accepting new patients
Upson County Hospital Inc CurrentSince Jan 2, 2018 Accepting new patients
Clayton Center CSB Past Accepting new patients

Locations

2002 Summit Blvd
Ste 300
Brookhaven, GA 30319
Phone (973) 241-1356

157 Smith St
Jonesboro, GA 30236
Phone (770) 473-2464

853 Battlecreek Rd
Jonesboro, GA 30236
Phone (770) 473-2433

1792 Mount Zion Rd
Morrow, GA 30260
Phone (770) 960-2009

50 Glenlake Pkwy
Ste 420
Sandy Springs, GA 30328
Phone (404) 595-2210

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

Organizations & group practices 6

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1497294532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE HILL RD",
            "address_2": "APT H6",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302248325",
            "telephone_number": "404-561-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE HILL RD",
            "address_2": "APT H6",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302248325",
            "telephone_number": "404-561-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISPER",
        "first_name": "PORTIA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.