Individual provider Active NPI

Adriana Luisa Della Porta, MD

  • Dermatology Physician
  • Decatur, GA
National Provider Identifier
1811630809
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
111673 Issued in GA
Practice address
315 W Ponce de Leon Ave Ste 600
Decatur, GA 30030-2498
Phone
(678) 355-8764
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 111673 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 600
Decatur, GA 30030-2498

Mailing address

315 W Ponce de Leon Ave Ste 600
Decatur, GA 30030-2498
Phone (678) 355-8764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220810001863 TN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5395128235

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: adellaporta666215@direct.vumc.org

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1811630809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 600",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302498",
            "telephone_number": "678-355-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 600",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302498",
            "telephone_number": "678-355-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA PORTA",
        "first_name": "ADRIANA",
        "middle_name": "LUISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "111673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.