Individual provider Active NPI

Henry Olin Porter III, M.D.

  • Neurology Physician
  • Pensacola, FL
National Provider Identifier
1811989346
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 45896 Issued in FL
Practice address
1110 Airport Blvd
Suite B
Pensacola, FL 32504
Phone
(850) 438-1136
Fax
(850) 438-1148
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME 45896 FL Primary

Addresses

Primary practice location

1110 Airport Blvd
Suite B
Pensacola, FL 32504

Mailing address

1110 Airport Blvd
Suite B
Pensacola, FL 32504
Phone (850) 438-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100802000748 FL Practitioner - Neurology 9032242748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Center for Neurological DisordersGroup PAC ID 2062417215, 11 clinicians

Practice addresses (Care Compare)

1110 Airport Blvd
Suite B
Pensacola, FL 32504-8608
Phone (850) 438-1136

1110 Airport Blvd
Suite B
Pensacola, FL 32504-8649

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 45896FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Center for Neurological Disorders Neurology CurrentSince Mar 17, 2020 Accepting new patients

Locations

1110 Airport Blvd
Ste B
Pensacola, FL 32504
Phone (850) 438-1136

9400 University Pkwy
Ste 109
Pensacola, FL 32514
Phone (850) 438-1136

Interoperability endpoints

  • Direct secure messaging: h.porter@eccnd.directbygreenway.com

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.

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1811989346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-438-1136",
            "fax_number": "850-438-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-438-1136",
            "fax_number": "850-438-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HENRY",
        "middle_name": "OLIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 45896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.