Individual provider Active NPI

Jamel Maurice Porter, EPC; ACSM EP-C

  • Clinical Exercise Physiologist
  • Savannah, GA
National Provider Identifier
1689554545
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
475 Issued in GA
Practice address
658 W 42ND St
Savannah, GA 31415-8950
Phone
(912) 328-9001
NPI assigned
Sep 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X F7X9G3G5 GA
Clinical Exercise Physiologist 224Y00000X 475 GA Primary

Addresses

Primary practice location

658 W 42ND St
Savannah, GA 31415-8950

Mailing address

658 W 42ND St
Savannah, GA 31415-8950
Phone (912) 328-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
475GAMDClinical Exercise Physiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chocofitness Sports and Exercise Medicine Clinic Clinical Exercise Physiologist CurrentSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1689554545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W 42ND ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314158950",
            "telephone_number": "912-328-9001",
            "fax_number": "912-428-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W 42ND ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314158950",
            "telephone_number": "912-328-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JAMEL",
        "middle_name": "MAURICE",
        "credential": "EPC; ACSM EP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "F7X9G3G5",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "GA",
            "license": "475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.