Individual provider Active NPI

Bill Scott Portis, MD

  • Emergency Medicine Physician
  • Paris, TN
National Provider Identifier
1922047059
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
07989 Issued in TN
Practice address
14201 Tyson Ave
Paris, TN 38222
Phone
(731) 407-7013
Fax
(731) 407-7019
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 07989 TN Primary

Addresses

Primary practice location

14201 Tyson Ave
Paris, TN 38222

Mailing address

PO Box 1030
Paris, TN 38242-1030
Phone (731) 407-7013

Other identifiers 3

IdentifierTypeStateIssuer
P00231534OtherTNRAILROAD MEDICARE
3155502MedicaidTN
4099437OtherTNBCBS

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
I20050208000442 TN Practitioner - Emergency MedicinePractitioner - Family Practice 5991756827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07989TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center CurrentSince May 21, 2013 Accepting new patients
Henry County Medical Center CurrentSince May 21, 2013 Accepting new patients
Evans Medical Clinic PLLC Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

3493 Veterans Dr N
Ste C
Huntingdon, TN 38344
Phone (731) 668-4455

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1922047059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382421030",
            "telephone_number": "731-407-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38222",
            "telephone_number": "731-407-7013",
            "fax_number": "731-407-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTIS",
        "first_name": "BILL",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "07989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00231534",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3155502",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4099437",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.