Amina Porter, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003528 Issued in GA

Practice address

30 Warren St SE
Atlanta, GA 30317-2267

Phone

(404) 373-6614

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amina.porter@merg.eclinicaldirectplus.com

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.

• Meridian Education Resource Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1730305004
  Medicare reassignment NPD
• Meridian Education Resource Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1528630654
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659433696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077R GLENDALE DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442820",
            "telephone_number": "404-409-4500",
            "fax_number": "404-766-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172267",
            "telephone_number": "404-373-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "977A Taylor St SW",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300125357",
            "country_code": "US",
            "telephone_number": "770-918-6677",
            "fax_number": "770-918-6686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "AMINA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004768",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Portee
• Melissa Portell Berrios
• Doris E Porter-Banks, CNS
• Fanisha Y Porter-Bempong, M.D.
• Alexandra Porter, PA-C
• Anndrea Porter, RBT
• Brandon Porter
• Brandy A Porter, NP
• Candra Natosha Porter, LCSW
• Emily Murrow Porter, PA

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.