Fanisha Y Porter-Bempong, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

82683 Issued in GA

Practice address

50 Glenlake Pkwy Ste 200
Atlanta, GA 30328-3488

Phone

(800) 767-4411

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Fanisha Y Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rogers Behavioral Health - Georgia Inc

  • Clinic/Center
  • Sandy Springs, GA
  • NPI 1700410131
  NPD
• Rogers Behavioral Health Practice PC

  • Psychiatry Physician
  • Sandy Springs, GA
  • NPI 1669006003
  NPD
• Rogers Memorial Hospital Incorporated

  • Clinic/Center
  • Skokie, IL
  • NPI 1689047607
  NPD (past)

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1659716546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34700 VALLEY RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664500",
            "telephone_number": "262-646-4411",
            "fax_number": "262-646-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PKWY STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283488",
            "telephone_number": "800-767-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-301-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 W College Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549143928",
            "country_code": "US",
            "telephone_number": "800-767-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Bishop Ln N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366085821",
            "country_code": "US",
            "telephone_number": "251-450-4359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER-BEMPONG",
        "first_name": "FANISHA",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "82683",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "82683",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "82683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FANISHA",
            "last_name": "PORTER",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Poree Jr., CNIM
• Port Counseling & Consultation
• Kimberly Portee
• Melissa Portell Berrios
• Doris E Porter-Banks, CNS
• Alexandra Porter, PA-C
• Amina Porter, PHD
• Anndrea Porter, RBT
• Brandon Porter
• Brandy A Porter, NP

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.