Neill C Porter, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

16337 Issued in MS

Practice address

4612 29TH Ave
Meridian, MS 39305-1652

Phone

(601) 485-8535

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dermatology and Skin Surgery Apmc

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1023005758
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689711236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051652",
            "telephone_number": "601-485-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051652",
            "telephone_number": "601-485-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "NEILL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "16337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120925",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Y. Poole, CRNA
• Anniston Cooper Pope, DC
• Sandra Lindsey Pope, SRNA
• Poplar Springs Nursing Center LLC
• Poplar Springs Physical Therapy, LLC
• Tyrikia Nicholle Porter
• Positive Innergy Counseling Services, LLC
• Kirby Renae Pough, LSW, MSACE
• Porchia Powe
• Wayne Powell, R.PH.

• Dermatology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.