NPIMap

Individual provider Active NPI

Lynn H. Porter, M.D.

  • Family Medicine Physician
  • Roberstdale, AL
National Provider Identifier
1508874751
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00014153 Issued in AL
Practice address
18317 US Hwy 90
Roberstdale, AL 36567
Phone
(251) 947-2000
Fax
(251) 947-5399
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00014153 AL Primary

Addresses

Primary practice location

18317 US Hwy 90
Roberstdale, AL 36567

Mailing address

PO Box 850489
Mobile, AL 36685-0489
Phone (251) 342-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000548 AL Practitioner - Family Practice 3870524952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care LLCGroup PAC ID 6709146285, 14 clinicians
Imc-Central Baldwin Physicians, LLC.Group PAC ID 3274825328, 4 clinicians

Practice addresses (Care Compare)

1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-1367

18317 US Hwy 90
Robertsdale, AL 36567
Phone (251) 947-2000

Hospital & facility affiliations

  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
  • Robertsdale Rehabilitation & Healthcare Ctr Nursing home, Robertsdale, AL, CCN 015443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00014153ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Healthcare Services Family Medicine Current Accepting new patients
Imc-Central Baldwin Physicians LLC Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2014 Accepting new patients
Transitional Care LLC CurrentSince Mar 1, 2018 Accepting new patients
Alabama Providence Healthcare Services Family Medicine Current Accepting new patients
Alabama Providence Healthcare Services Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Robertsdale Nursing Home Inc Past Accepting new patients
Franklin Primary Health Center, Inc Family Medicine Past Accepting new patients

Locations

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

6701 Airport Blvd
Ste D430
Mobile, AL 36608
Phone (251) 633-0119

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1508874751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850489",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850489",
            "telephone_number": "251-342-3949",
            "fax_number": "251-631-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18317 US HWY 90",
            "city": "ROBERSTDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-2000",
            "fax_number": "251-947-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LYNN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00014153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.