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THE BRIDGE
NPI 1932731361
Family Medicine in Bainbridge, GA

Active since February 04, 2020CLIA 11D2212621 · Waiver
920 S WEST ST, BAINBRIDGE, GA 39819(229) 400-0498 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Bridge NPPES

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

THE BRIDGE (NPI 1932731361) is a healthcare organization registered as a family medicine in Bainbridge, Georgia and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Jennifer Moore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932731361
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORT MEDICAL MANAGEMENT INC
Location Address920 S WEST STBainbridge, GA 39819-4581
Mailing Address922 S West StBainbridge, GA 39819-4581 · (229) 248-8499
Phone(229) 400-0498
Organization SubpartNo
Authorized OfficialJennifer MooreOffice Manager · (229) 400-0498
Enumeration DateFebruary 4, 2020
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1932731361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
920 S WEST ST, Bainbridge, GA 39819
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Other Names 1

Doing Business AsThe Bridge

Other Identifiers 3

Other1013306547GA · Family Practice
Other1174851745GA · Family Practice
Other1972570943GA · Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 11D2212621

Port Medical Management, Inc · Bainbridge, GA
Active · expires Feb 4, 2027
CLIA Number11D2212621
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDarrell S. Surratt
Laboratory Phone(229) 246-8850
Laboratory LocationPort Medical Management, Inc920 South West Street, Bainbridge, GA 39819
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LADONNA M BASS
Family Medicine
920 S WEST ST
BAINBRIDGE, GA 39819
Decatur County (229) 246-8850
LORRAINE ANDERSON WEST NP
Nurse Practitioner (Family)
920 S WEST ST
BAINBRIDGE, GA 39819
Decatur County (229) 421-9411

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 Port Medical Management Inc's NPI number?

The NPI number for Port Medical Management Inc is 1932731361. It was assigned to this organization in the NPPES registry on February 4, 2020. The provider is doing business as The Bridge.

Where is Port Medical Management Inc located?

Port Medical Management Inc is located at 920 S West St, Bainbridge, GA 39819. The listed phone number is (229) 400-0498.

What is Port Medical Management Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Port Medical Management Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2212621) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port Medical Management Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Port Medical Management Inc 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 Port Medical Management Inc was last updated on February 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.