Porsha Terell Robinson, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9365425 Issued in FL

Practice address

100 N Patterson St Ste 9
Valdosta, GA 31601-5570

Phone

(877) 586-2971

Fax

(866) 703-1440

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Porsha Terell Samuel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Ethereal Diagnostics & Services LLC

  • Health Service Clinic/Center
  • Valdosta, GA
  • NPI 1629822259
  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1578313656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PATTERSON ST STE 9",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015570",
            "telephone_number": "877-586-2971",
            "fax_number": "866-703-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PATTERSON ST STE 9",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015570",
            "telephone_number": "877-586-2971",
            "fax_number": "866-703-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PORSHA",
        "middle_name": "TERELL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9365425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORSHA",
            "last_name": "SAMUEL",
            "middle_name": "TERELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candice Robinson
• Henderica C Robinson
• Lashasta Robinson, DC
• Loretta Breionne Robinson
• Michael Brent Robinson Sr.
• Valeria Robinson
• Yolanda Robinson
• Joseph Robison, PT, DPT, MSC, NCS
• Sharell Rock
• Latrice Nicole Rockmore, NP

• General Practice Registered Nurse in Valdosta, GA
• Providers in Valdosta, GA by specialty
• General Practice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.