NPIMap

Individual provider Active NPI

Logan T Porter, MD

  • Family Medicine Physician
  • Navarre, FL
National Provider Identifier
1881705762
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2492 Issued in AK
Practice address
7065 Calle Ponce de Leon
Navarre, FL 32566-8852
Phone
(850) 936-1695
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME98933 FL
Family Medicine Physician 207Q00000X 2492 AK Primary

Addresses

Primary practice location

7065 Calle Ponce de Leon
Navarre, FL 32566-8852

Mailing address

7065 Calle Ponce de Leon
Navarre, FL 32566-8852
Phone (850) 936-1695

Other identifiers 2

IdentifierTypeStateIssuer
MD24921MedicaidAK
280075600MedicaidFL

Other names 1

  • Logan P Crane Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611001739 VT Practitioner - Family Practice 4082790019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Health Care IncGroup PAC ID 2668624982, 37 clinicians

Practice addresses (Care Compare)

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone (802) 748-7500

PO Box
St Johnsbury, VT 05819-0905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.83 of 100Reported as group
Quality
61.85
Improvement activities
40
Cost
76.05

Merit-based Incentive Payment System (MIPS)

Final score
83.39 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
55.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2492AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Apr 22, 2025 Accepting new patients
Northeastern Vermont Regional Hospital Inc CurrentSince Apr 22, 2025 Accepting new patients
Essex Urgent & Primary Care Providers PC Current Accepting new patients
Santa Rosa Hma Physician Management LLC Family Medicine PastSince Jul 4, 2021 Accepting new patients
Rural Health Network of Monroe County, Florida, Inc. Past Accepting new patients
Northeastern Vermont Regional Hospital, Inc. Past Accepting new patients
Santa Rosa Hma Urgent Care LLC Past Accepting new patients
Santa Rosa Hma Physician Management, LLC Family Medicine PastSince May 1, 2012 Accepting new patients

Locations

714 Breezy Hill Rd
St Johnsbury, VT 05819
Phone (802) 748-5126

714 Breezy Hill Rd
Ste 1
St Johnsbury, VT 05819
Phone (802) 748-7500

Organizations & group practices 9

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 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881705762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 CALLE PONCE DE LEON",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668852",
            "telephone_number": "850-936-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 CALLE PONCE DE LEON",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668852",
            "telephone_number": "850-936-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LOGAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME98933",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD24921",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280075600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "CRANE",
            "middle_name": "P",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.