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DWIGHT A PORTER LPC
NPI 1194158220
Counselor - Professional in Union City, GA

Active since August 13, 2013PECOS Enrolled
4405 MALL BLVD, SUITE 200, UNION CITY, GA 30291(770) 969-4309(770) 969-4170 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dwight A Porter Lpc NPPES

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

DWIGHT A PORTER LPC (NPI 1194158220) is an individual professional provider in Union City, Georgia, licensed in Georgia (006366) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194158220
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDWIGHT A PORTERCredential: LPC
Location Address4405 MALL BLVD, SUITE 200Union City, GA 30291-2044
Mailing Address4405 Mall Blvd, Suite 200Union City, GA 30291-2044 · (770) 969-4309 · Fax (770) 969-4170
Phone(770) 969-4309
Fax(770) 969-4170
Sole ProprietorNo
Enumeration DateAugust 13, 2013
✔ NPI 1194158220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 006366
4405 MALL BLVD, Union City, GA 30291
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwight A Porter Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dwight Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chesterfield Family Guidance Center
477 mi
Clinical
6603 IRONGATE SQUARE
Richmond, VA 23234
  • Reassigned Medicare billing, Virginia enrollment
  • 83 clinicians in this Medicare group
NPI 1225192909 (804) 743-0960

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

Other Providers at the Same Location NPPES 9

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

SHEILA WILLIAMS
Counselor (Mental Health)
4405 MALL BLVD
UNION CITY, GA 30291
Fulton County (770) 892-3200
MRS. MELANIE L. PONDER-WRIGHT LCSW
Social Worker (Clinical)
4405 MALL BLVD
UNION CITY, GA 30291
Fulton County (770) 892-3200
DEXTER BAKER
Counselor (Addiction (Substance Use Disorder))
4405 MALL BLVD
UNION CITY, GA 30291
Fulton County (770) 892-3200
EPIPHANY HEALTHCARE SYSTEMS, INC
Counselor (Mental Health)
4405 MALL BLVD, SUITE 315
UNION CITY, GA 30291
Fulton County (770) 306-3416
THE RIGHT CHOICE BEHAVIORAL SERVICES, LLC
Counselor (Professional)
4405 MALL BLVD, SUITE 310
UNION CITY, GA 30291
Fulton County (770) 365-3140
JOSEPH WRIGHT II
Social Worker
4405 MALL BLVD
UNION CITY, GA 30291
Fulton County (770) 892-3200
KENNETH BASKETT
Behavior Analyst
4405 MALL BLVD, SUITE 200
UNION CITY, GA 30291
Fulton County (779) 969-4309
DANTE CHARLES I
Counselor (Mental Health)
4405 MALL BLVD, SUITE 200
UNION CITY, GA 30291
Fulton County (770) 969-4309

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 Dwight Porter's NPI number?

The NPI number for Dwight Porter is 1194158220. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Dwight Porter located?

Dwight Porter practices at 4405 Mall Blvd Suite 200, Union City, GA 30291. The listed phone number is (770) 969-4309.

What is Dwight Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dwight Porter enrolled in Medicare?

Yes. Dwight Porter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dwight Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwight Porter reassigns Medicare benefits to Chesterfield Family Guidance Center (Richmond, VA). The 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 Dwight Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dwight Porter accept?

Health plans from Oscar Health list Dwight Porter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dwight Porter was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.