PORTER WELLNESS & INTEGRATIVE MEDICINE
NPI 1073144473
Physician Assistant in Daytona Beach, FL

Active since February 04, 2020
1367 BEVILLE RD, DAYTONA BEACH, FL 32119(386) 317-2000(386) 265-5552 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2020, Feb 4, 2020 (2 updates tracked since 2020).

About Porter Wellness & Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTER WELLNESS & INTEGRATIVE MEDICINE (NPI 1073144473) is a healthcare organization registered as a physician assistant in Daytona Beach, Florida and active in the NPI registry since February 2020. The organization lists Debora Lynn Porter, Physician/ Owner, as its authorized official.

NPPES Registry Identity

NPI1073144473
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NamePORTER CHIROPRACTIC & WELLNESS, LLC
Location Address1367 BEVILLE RDDaytona Beach, FL 32119-1529
Mailing Address1367 Beville RdDaytona Beach, FL 32119-1529 · (386) 317-2000 · Fax (386) 265-5552
Fax(386) 265-5552
Organization SubpartNo
Authorized OfficialDebora Lynn PorterPhysician/ Owner · (386) 317-2000
Enumeration DateFebruary 4, 2020
Last NPPES UpdateMay 5, 20202 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1073144473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1367 BEVILLE RD, Daytona Beach, FL 32119

Other Names 1

Doing Business AsPorter Wellness & Integrative Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Porter Wellness & Integrative Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20140327001334Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Porter Wellness & Integrative Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1164995064
1367 BEVILLE RD
Daytona Beach, FL 32119
(386) 317-2000
Same address
Chiropractic
NPI 1508299488
1367 BEVILLE RD
Daytona Beach, FL 32119
(386) 173-2000
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Porter Chiropractic & Wellness, LLC's NPI number?

The NPI number for Porter Chiropractic & Wellness, LLC is 1073144473. It was assigned to this organization in the NPPES registry on February 4, 2020. The provider is doing business as Porter Wellness & Integrative Medicine.

Where is Porter Chiropractic & Wellness, LLC located?

Porter Chiropractic & Wellness, LLC is located at 1367 Beville Rd, Daytona Beach, FL 32119. The listed phone number is (386) 317-2000.

What is Porter Chiropractic & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Porter Chiropractic & Wellness, LLC enrolled in Medicare?

Yes. Porter Chiropractic & Wellness, LLC is registered in the Medicare PECOS enrollment system.

When is Porter Chiropractic & Wellness, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Porter Chiropractic & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Porter Chiropractic & Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Porter Chiropractic & Wellness, LLC was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.