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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN K.L. PORTER, D.O., PC
NPI 1083096747
Internal Medicine in Montgomery, AL

Active since June 18, 2015CLIA 01D2124865 · Waiver
4749 BERRY BLVD, MONTGOMERY, AL 36106(334) 579-3498(334) 888-8611 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Mar 17, 2018 (2 updates tracked since 2018).

About John K.l. Porter, D.o., Pc NPPES

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

JOHN K.L. PORTER, D.O., PC (NPI 1083096747) is a healthcare organization registered as an internal medicine in Montgomery, Alabama and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists John K Porter, D.o./owner, as its authorized official.

NPPES Registry Identity

NPI1083096747
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOHN K.L. PORTER, D.O., PC
Location Address4749 BERRY BLVDMontgomery, AL 36106-3079
Mailing Address4749 Berry BlvdMontgomery, AL 36106-3079 · (334) 579-3498 · Fax (334) 888-8611
Phone(334) 579-3498
Fax(334) 888-8611
Organization SubpartNo
Authorized OfficialJohn K PorterD.o./owner · (334) 265-8455
Enumeration DateJune 18, 2015
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1083096747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 1488
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4749 BERRY BLVD, Montgomery, AL 36106
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2124865

John K L Porter Do PC · Montgomery, AL
Active · expires Jan 25, 2027
CLIA Number01D2124865
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDr. John K. Porter Do
Laboratory Phone(334) 265-8455
Laboratory LocationJohn K L Porter Do PC4749 Berry Blvd, Montgomery, AL 36106
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN W TINGLIN MD
Specialist
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280
DR. JOHN KENNETH PORTER D.O.
Internal Medicine
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 579-3498
DR. HOWARD CAREY SNIDER JR. MD
Surgery
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280
ALABAMA SURGICAL CONSULTANTS
Surgery
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280
MRS. DONETTE RAE SURVANCE NP
Nurse Practitioner (Family)
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 747-8850
DR. LIVINGSTON LEE EADDY JR. MD
Specialist
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280

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 John K.L. Porter, D.O., PC's NPI number?

The NPI number for John K.L. Porter, D.O., PC is 1083096747. It was assigned to this organization in the NPPES registry on June 18, 2015.

Where is John K.L. Porter, D.O., PC located?

John K.L. Porter, D.O., PC is located at 4749 Berry Blvd, Montgomery, AL 36106. The listed phone number is (334) 579-3498.

What is John K.L. Porter, D.O., PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does John K.L. Porter, D.O., PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2124865) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John K.L. Porter, D.O., PC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.