SARA PORTER - NPI 1568959773 - Psychiatry & Neurology in Madison, MS

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

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About Sara Porter NPPES

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

SARA PORTER (NPI 1568959773) is an individual child & adolescent psychiatry provider in Madison, Mississippi, licensed in Mississippi (30454) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1568959773

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameSARA PORTER

Location Address401 BAPTIST DR STE 301Madison, MS 39110-2012

Mailing Address401 Baptist Dr Ste 301Madison, MS 39110-2012

Phone(601) 499-0935

Fax(601) 499-0936

Sole ProprietorNo

Enumeration DateApril 13, 2018

Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1568959773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MS · 30454

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License T-3840 (MS)

401 BAPTIST DR STE 301, Madison, MS 39110

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Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 815-1362

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Porter 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.

Other Providers at the Same Location NPPES 11

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

OCHSNER MISSISSIPPI, LLC

Internal Medicine