Individual provider Active NPI

Mary J Porter, MD

  • Pulmonary Disease Physician
  • Savannah, GA
National Provider Identifier
1689642258
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
032635 Issued in GA
Practice address
340 Hodgson CT
Suite #2
Savannah, GA 31406-1520
Phone
(912) 629-2290
Fax
(912) 629-2291
NPI assigned
Mar 9, 2006
Last updated
May 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 032635 GA
Pulmonary Disease Physician 207RP1001X 032635 GA Primary

Addresses

Primary practice location

340 Hodgson CT
Suite #2
Savannah, GA 31406-1520

Mailing address

PO Box 14417
Savannah, GA 31416-1417
Phone (912) 629-2290

Other identifiers 2

IdentifierTypeStateIssuer
290011257OtherGARAILROAD MEDICARE
000473833FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100817000384 GA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9638203391 Reassigns benefits to 1 organization
I20190814002335 SC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9638203391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Lung and Critical Care Specialists PCGroup PAC ID 7618962291, shared by 2 NPIs, 25 clinicians

Practice addresses (Care Compare)

12 B Arley Way
Suite 101
Bluffton, SC 29910-4883
Phone (912) 819-5757

131 Silverwood CT
Suite 100
Rincon, GA 31326-5131
Phone (912) 826-3927

340 Hodgson CT
Savannah, GA 31406-1520
Phone (912) 629-2290

340 Hodgson CT
Savannah, GA 31406-1523
Phone (912) 629-2290

370 Peachtree St
Jesup, GA 31545-0244
Phone (912) 629-2290

601 E General Stewart Way
Hinesville, GA 31313-2627
Phone (912) 629-2290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.21 of 100Reported as individual
Quality
87.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Lung & Critical Care Specialists, PC Pulmonary Disease Current Accepting new patients
Southeast Lung & Critical Care Specialists Pulmonary Disease CurrentSince Jan 1, 1998 Accepting new patients
Southeast Lung & Critical Care Specialists, P.C. CurrentSince May 1, 2019 Accepting new patients
Southeast Lung & Critical Care Specialists, PC Pulmonary Disease CurrentSince Jan 1, 1998 Accepting new patients
Southeast Lung & Critical Care Specialists, P.C. Pulmonary Disease Past Accepting new patients
Southeast Lung & Critical Care Specialists, PC Pulmonary Disease Past Accepting new patients
Southeast Lung & Critical Care Specialists P C Pulmonary Disease Past Accepting new patients
Southeast Lung & Critical Care Specialists, PC Pulmonary Disease Past Accepting new patients

Locations

601 E General Stewart Way
Hinesville, GA 31313
Phone (912) 355-4557

370 Peachtree St
Jesup, GA 31545
Phone (912) 348-9495

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

131 Silverwood Ct
Ste 100
Rincon, GA 31326
Phone (912) 826-3927

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

340 Eisenhower Dr
Ste 1500
Savannah, GA 31406
Phone (912) 353-6614

340 Hodgson Ct
Savannah, GA 31406
Phone (843) 682-3583

340 Hodgson Ct
Ste 2
Savannah, GA 31406
Phone (912) 590-5797

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

5353 Reynolds St
#4S
Savannah, GA 31405
Phone (912) 819-7800

800 E 68th St
Savannah, GA 31405
Phone 9122329700 ext. 103

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

209A Mims Rd
Sylvania, GA 30467
Phone (912) 564-2686

209C Mims Rd
Sylvania, GA 30467
Phone (912) 564-5977

12 Arley Way
Ste 101
Bluffton, SC 29910
Phone (843) 706-9940

23 Main St
Ste 202
Hilton Head Island, SC 29926
Phone (843) 682-3583

Interoperability endpoints

  • Direct secure messaging: m.porter@gadirect.net
  • Direct secure messaging: mary.porter.1@23844.direct.athenahealth.com
  • Direct secure messaging: mjudithporter@arms.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1689642258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14417",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161417",
            "telephone_number": "912-629-2290",
            "fax_number": "912-629-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT",
            "address_2": "SUITE #2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061520",
            "telephone_number": "912-629-2290",
            "fax_number": "912-629-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "032635",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "032635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290011257",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473833F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.