Portis Medical Solutions LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

21256 Issued in MS

Legal business name

PORTIS MEDICAL SOLUTIONS LLC

Practice address

1225 N State St
Jackson, MS 39202-2064

Phone

(601) 936-6001

Fax

(601) 936-4389

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Raymond L Portis II, MD

Title

President

Phone

(601) 936-6001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1578965240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24023",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254023",
            "telephone_number": "601-936-6001",
            "fax_number": "601-936-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022064",
            "telephone_number": "601-936-6001",
            "fax_number": "601-936-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTIS MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-936-6001",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "21256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Andrew Porter, PA
• Debra L Porter, PT
• John M Porter, MD
• Mary Lauren Porter, AUD
• Stephen Benjamin Porter
• Lajuanda Davis Portis, MLS
• Raymond L. Portis, M.D.
• Kristen Posey, NP-C
• Positive Growth & Wellness LLC
• Positive Living Inc (Utopia Assisted Living)

• Pulmonary Disease Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pulmonary Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.