Active NPI
Mary J Porter, MD
- Pulmonary Disease Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 032635
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290011257 | Other | GA | RAILROAD MEDICARE |
| 000473833F | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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 PC
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
- Wayne Memorial Hospital
- Candler Hospital
- St Joseph's Hospital - Savannah
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Memorial Satilla Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.21 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Lung & Critical Care Specialists, PC | Pulmonary Disease | Current | Accepting new patients |
| Southeast Lung & Critical Care Specialists | Pulmonary Disease | Current | Accepting new patients |
| Southeast Lung & Critical Care Specialists, P.C. | Current | Accepting new patients | |
| Southeast Lung & Critical Care Specialists, PC | Pulmonary Disease | Current | 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
- m.porter@gadirect.net
- mary.porter.1@23844.direct.athenahealth.com
- 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.
-
dba Southeast Lung Associates
- Specialist
- Savannah, GA
- NPI 1740244276
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Bluffton, SC
- NPI 1164789251
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Baxley, GA
- NPI 1366064164
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Vidalia, GA
- NPI 1750651865
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Hinesville, GA
- NPI 1528578028
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Savannah, GA
- NPI 1023383247
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Jesup, GA
- NPI 1447628789
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Savannah, GA
- NPI 1770989154
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
dba wayne memorial hospital
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.