KEITH PORTER
NPI 1376923649
Anesthesiology in Southaven, MS

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671(662) 349-2659 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Porter NPPES

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

KEITH PORTER (NPI 1376923649) is an individual anesthesiology provider in Southaven, Mississippi, licensed in Mississippi (26479) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2015).

NPPES Registry Identity

NPI1376923649
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKEITH PORTER
Location Address391 SOUTHCREST CIR STE 108Southaven, MS 38671-4775
Mailing Address391 Southcrest Cir Ste 108Southaven, MS 38671-4775 · (901) 830-4211
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2015
Enumeration DateJune 2, 2015
Last NPPES UpdateJune 3, 2019
NPI 1376923649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MS · 26479
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
391 SOUTHCREST CIR STE 108, Southaven, MS 38671

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith Porter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810247046
PECOS Enrollment IDI20200814001462
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
17 services16 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
15 services13 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671
Nurse Anesthetist, Certified Registered
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671
Pharmacy (Community/Retail Pharmacy)
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671
Nurse Anesthetist, Certified Registered
391 SOUTHCREST CIR STE 108
SOUTHAVEN, MS 38671

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 Keith Porter's NPI number?

The NPI number for Keith Porter is 1376923649. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Keith Porter located?

Keith Porter practices at 391 Southcrest Cir Ste 108, Southaven, MS 38671. The listed phone number is (662) 349-2659.

What is Keith Porter's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Keith Porter enrolled in Medicare?

Yes. Keith Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keith Porter affiliated with any hospitals?

According to CMS data, Keith Porter is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Keith Porter was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.