Individual provider Active NPI

Joshua Porter, M.D.

  • Emergency Medicine Physician
  • Jefferson City, TN
National Provider Identifier
1912249814
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
54598 Issued in TN
Practice address
110 Hospital Dr
Jefferson City, TN 37760-5281
Phone
(865) 471-2500
NPI assigned
Mar 19, 2013
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 48393 KY
Emergency Medicine Physician 207P00000X 54598 TN Primary

Addresses

Primary practice location

110 Hospital Dr
Jefferson City, TN 37760-5281

Mailing address

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160412001089 KY Practitioner - Family PracticePractitioner - Emergency Medicine 1153639919 Reassigns benefits to 1 organization
I20161010000817 TN Practitioner - Family PracticePractitioner - Emergency Medicine 1153639919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4100

908 W 4TH N St
Morristown, TN 37814-3894
Phone (423) 586-4231

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Aug 4, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 2, 2023 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

653 Merchants Greene Blvd
Morristown, TN 37813
Phone (423) 492-6900

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

Organizations & group practices 3

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 2

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1912249814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605281",
            "telephone_number": "865-471-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605281",
            "telephone_number": "865-471-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "48393",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "54598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.