ADAM DEAN PORT NPI 1033684816

NPI Information

NPI: 1033684816
Provider Name: ADAM DEAN PORT
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Organization: ANKLE AND FOOT CENTERS OF GEORGIA, LLC

PECOS Registration: Yes

Address:
2701 N DECATUR RD
DECATUR, GA
ZIP 30033
Phone: (404) 501-7188
Get Directions

Adam Dean Port is a primary podiatric medicine podiatrist in Decatur, GA with 7 years of experience. Adam Dean Port NPI is 1033684816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2701 N DECATUR RD
DECATUR, GA
ZIP 30033-918
Phone: (404) 501-7188
Fax: (404) 501-2095

The NPI 1033684816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/9/2018 and was last updated on 10/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	POD001397	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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